Dr. Basking went over a series of clinical cases. These are some points I thought were interesting from the lecture:
- Newborns with cloacal exstrophy go home after a workup and then have elective surgery at 6 weeks: osteotomies, colostomy, closure of bladder halves.
- The neonatal torsion salvage rate is less than 1%. Most newborns are recommended contralateral orchiopexy (scrotal approach) >48 hrs-1 weeks after birth when anesthesia is safer.
- Abdominoscrotal hydroceles go away with observation and are not at risk for a hernia.
- Newborn with traumatic delivery and a scrotal hematoma could have an adrenal hemorrhage — with blood tracking down from the retroperitoneal.
From the Q & A:
For ureterocele puncture, Dr. Baskin uses a Bugbee with the setting at 20 on cut.