Urethral calculi: presentation and management.

Objective: To determine the occurrence, symptoms, treatment and outcome in patients with urethral stones.

Patients And Methods: Fifty-one consecutive patients with urethral calculi were assessed prospectively; all were male and one was an infant.

Results: Acute retention of urine occurred in 78% of patients, urethral anatomical pathology in 6% and posterior urethral calculi in 88%.

Anterior hypospadias. Is repair necessary with urination in a sitting or squatting position?

Objective: To determine the chronic complication rate of anterior hypospadias repair and to explore whether the practice of placing the neomeatus at the tip of the penis should be applicable to all cases in our community where urination is in a sitting/squatting position.

Methods: Over a 10-year period commencing 1st September 1987, 312 patients had hypospadias repair of whom 72% had anterior hypospadias. The meatus was advanced to the tip of the penis in all repairs.

Unusual high presentation of torsion of testicular appendages.

Full text is available as a scanned copy of the original print version.

Management of an unusually high postpubertal presentation of cryptorchidism.

A high proportion (43%) of postpubertal presentation of cryptorchid testes was found in 114 patients with undescended testes (UDT). Bilateral presentation of UDT was observed in 25% of patients. Orchiopexy was performed on 75% of postpubertal cases, the determinant factor for choice of operation being cosmetic and psychological.

Prognosis of radiologically non-functioning obstructed kidneys.

Twenty patients found to have unilateral radiologically non-functioning obstructed kidneys on excretory urography (IVU), and who had normal contralateral kidneys, were further evaluated. Ultrasonography, radionuclide imaging and CT scan were carried out pre-operatively to try to predict which of the kidneys were potentially recoverable after relief of obstruction. Percutaneous nephrostomy was also performed on the last consecutive 7 patients 4 weeks before definitive treatment and the function of the kidneys determined daily.