Some patients with posterior urethral valves fail to improve after primary valve ablation with regards to hydronephrosis and creatinine levels. Because of this, pediatric urologists sometimes recommend either a vesicostomy … Read more
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
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
We often see patients with incidentally found simple renal cysts on ultrasounds done for urinary symptoms/abdominal pain. Once a cyst is found, I feel obligated to continue to monitor it … Read more
Vaginal voiding occurs when the urine goes from out the urethra back into the vagina. Radiologists often see vaginal voiding in girls during a voiding cystourethrogram due to the fact … Read more
Prostatic utricles (PU) are rarely found in boys with a history of severe hypospadias or disorders of sex development, either during preoperative evaluation with a voiding cystogram or at any … Read more
This post describes how I evaluate newborns with antenatally detected hydronephrosis. UTD Classification In 2014, a multispecialty panel convened to create a unified classification system for congenital hydronephrosis. The panel … Read more
Hydroceles and inguinal hernias are common in children. Hydroceles are typically asymptomatic and cause no damage to the testicle, whereas inguinal hernias can rarely result in bowel strangulation –a serious … Read more
A urethral injury is suspected when there is blood at the meatus, a Foley catheter cannot be passed, there is perineal bruising, or due to inability to void. Pelvic fractures … Read more
Traditional teaching dictates performing a nephrectomy for hydronephrotic kidneys with <15% differential renal function (DRF) and a pyeloplasty for those with >15% DRF. This stems from the idea that poorly … Read more