Evaluation of ureterointestinal anastomosis: Wallace vs Bricker.

Purpose: There are no published reports to our knowledge comparing the complication rates of the 2 most frequently used ureterointestinal anastomoses. We compared the Bricker method vs the Wallace method in terms of stricture rate.

Materials And Methods: A retrospective review of the cystectomy database at our institution covering 1997 to 2003 was conducted.

Surgical management of primary bladder diverticula in children.

Purpose: The aim of this study was to review the authors' surgical experience with primary bladder diverticula in the pediatric population, with special attention to associated urinary tract infections and voiding dysfunction.

Methods: A retrospective review yielded 21 pediatric patients with primary bladder diverticula treated surgically over a 13-year span. Patients with secondary diverticula were excluded.

Management of complications after hypospadias repair.

Objectives: To review our experience with hypospadias complications (seen after 10%-15% of repairs) and to identify factors influencing outcome.

Methods: We reviewed the available medical records of 113 patients who underwent repeat operation for hypospadias complications. Of the 113 patients, 40% had undergone the initial repair at our institution (internal referral); 60% had undergone the initial repair elsewhere before referral (external referral).

Incomplete bladder duplication presenting antenatally.

We report a case of an incomplete bladder duplication diagnosed by prenatal ultrasonography at 35 weeks of gestation. The patient was followed until bladder neck obstruction and high-grade vesicoureteral reflux of a solitary kidney prompted definitive repair at 6 months of age. Bladder duplication is a rare anomaly.