Orchiopexy practice patterns in New York State from 1984 to 2002.

Purpose: Cryptorchidism is the most common genital anomaly identified at birth, and endocrine disrupters in the environment may be causing an increase in this entity. To determine whether the rate of surgery for undescended testes is increasing, we evaluated all documented orchiopexies performed in New York State during a 19-year period.

Materials And Methods: We used the New York State Statewide Planning and Research Cooperative System database to identify all orchiopexies performed between 1984 and 2002.

Prenatal ultrasound has led to earlier detection and repair of ureteropelvic junction obstruction.

Purpose: We hypothesized that the widespread adoption of prenatal ultrasound in the early 1980s has led to earlier and increased numbers of repairs for ureteropelvic junction (UPJ) obstruction.

Materials And Methods: The New York State Department of Health database was used to identify all patients who underwent pyeloplasty between 1984 and 2002.

Results: A total of 7,758 repairs were evaluated (6,725 pyeloplasties and 1,033 endopyelotomies).

Febrile urinary tract infections in infants: renal ultrasound remains necessary.

Purpose: Current guidelines from the American Academy of Pediatrics recommend voiding cystourethrography (VCUG) and renal ultrasound for the radiographic evaluation of infants after a febrile urinary tract infection. Some recent studies have suggested that ultrasound is not necessary in the era of prenatal ultrasound. We reviewed our experience to ascertain the influence that ultrasound has on the treatment of these infants.