Labial adhesions

Incidence Labial adhesions occur in up to 2% of girls usually in the first 2 years of life:   Cause The cause has not been clearly identified. Some have postulated … Read more


  Recently, I got involved in the care of a newborn patient with a fusiform megalourethra. On examination, I was not able to palpate any corporal tissues. The penile skin … Read more

Suprise Femoral Hernia

The last time I read about femoral hernias was during my surgery internship. Up to recently, I have never seen an actual femoral hernia or heard of any of my … Read more

Urethral Meatitis

To my knowledge, there is nothing published in medical journals or the internet about urethral meatitis. Despite this, I commonly diagnose boys in my clinic with the condition. I refer … Read more

For Bladder Stones, Scope Size Matters

I cystoscopically removed a 5 cm stone in a teenager with neurogenic bladder status post bladder augmentation: I decided to do this cystoscopically — and not open or percutaneously — … Read more

Clinical challenges in Prune Belly patients

Patients with Prune Belly Syndrome (PBS) suffer from recurrent urinary infections, difficulties voiding/emptying and/or renal failure. Almost always, boys with PBS have bilateral undescended testis but for this article, I … Read more

Real life indications for pyeloplasty

No kidney function on left

In a previous post, I went over the indications for a pyeloplasty and discussed their merits and drawbacks. To better inform the families of the children I take care of, … Read more