Factors contributing to a successful outcome of combined abdominal transpubic perineal urethroplasty for complex posterior urethral disruptions.

Purpose: We present our results of and operative principles essential for a successful outcome of complex posterior urethral disruption management.

Materials And Methods: A total of 25 patients underwent abdominal transpubic perineal urethroplasty for complex posterior urethral disruption. Preoperative voiding cystourethrogram with retrograde urethrogram and cystourethroscopy were done to evaluate the stricture and bladder neck.

Falciform ligament abscess with portal pyemia in a newborn.

An 18-day-old female neonate presented with abdominal distention and bilious vomiting for 5 days. Abdominal examination showed hepatomegaly and a mass in the right hypochondrium. Ultrasound showed an extrahepatic cyst with internal echoes and dilated intrahepatic radicals.

Complex posterior urethral disruptions: management by combined abdominal transpubic perineal urethroplasty.

Purpose: We present our short-term results of abdominal transpubic perineal urethroplasty for complex posterior urethral disruption.

Materials And Methods: From January 2000 to March 2005, 21 patients with complex posterior urethral disruption underwent abdominal transpubic perineal urethroplasty. Complex disruption was defined as stricture gap exceeding 3 cm or associated perineal fistulas, rectourethral fistulas, periurethral cavities, false passages, an open bladder neck or previous failed repair.

Antral mucosal valve: a rare cause of gastric outlet obstruction in newborn.

A 15-day male neonate presented with postprandial nonbilious vomiting. Barium meal suggested pyloric obstruction. Ultrasound of the stomach after saline loading revealed an echogenic antral valve.