Robotic Pyeloplasty: Pelvic Kidney
This post describes port placement with hidden incisions and the technique for a robotic pyeloplasty in a pelvic Kidney. Positioning Frog leg with slight elevation of the ipsilateral side; secure … Read more
Concealed penis
Definition A concealed penis occurs when the head of the penis telescopes inside the foreskin under the healing circumcision line which then contracts into a tight ring. This happens soon … Read more
Smegma Balls
Smegma balls are a common referral to pediatric urologists. These are some of the descriptions I see on the referrals: Penile mass Penile tumor Penile abscess Penile pus According to … Read more
Optimizing Surgical Outcomes: Intra-Op considerations
This is a pediatric focused summary of the AUA white paper: Optimizing outcomes in urologic surgery — Intraoperative considerations. Surgical “Time-Out” The first section of the White paper talks about … Read more
Redo Pyeloplasty
These are the surgical options to repair a failed pyeloplasty: Endoscopic treatment (dilation, endopyelotomy) Redo dismembered pyeloplasty Flap pyeloplasty Ureterocalycostomy Fortunately, I have not had to deal with failed pyeloplasties … Read more
Optimizing Outcomes in Pediatric Urologic Surgery: Pre-Operative Considerations
This is a pediatric focused summary of the AUA white paper on optimizing pre-operative care. I also reviewed this UpToDate article to include information more pertinent to paediatrics. Upper … Read more
The Modified O’Reagan Protocol for Pediatric Voiding Problems.
I recently became aware of the existence of the Modified O’Reagan Protocol (MOP) via a parent email that included an attachment titled “The Physician’s guide to MOP”. MOP is based … Read more
Pediatric Inguinal Hernia Repair with no Scars
Traditional inguinal hernia repairs are performed through a 1-4 cm inguinal incision. A few years after surgery the scar looks like this: Below, I will discuss two ways … Read more
Urachal Remnants
Urachal Remnants: Sleeping lions or another downside of too much medical care? On one hand, some doctors advocate removing all urachal remnants due to their potential to cause infections or … Read more
Direct inguinal hernia surprise
All hernias that I have seen in the last few years have been indirect: the defect is lateral to the epigastrics. Indirect hernias are caused by a failure of the … Read more