Current perceptions of resident training in laparoscopic nephrectomy.

Objectives: To determine the perceived degree of training of residents in laparoscopic nephrectomy. Laparoscopic nephrectomy is well established in the field of urology and has seen increasing penetrance in urologic practice. The degree to which this recent technical shift has been integrated into urologic training at the residency level has not been characterized.

Training residents in hypospadias repair: variations of involvement.

Purpose: Hypospadias repair is a complex and seminal procedure that has defined the subspecialty of pediatric urology. We sought to determine the degree of training and opinions regarding the need for fellowship training to achieve necessary competence in hypospadias repair.

Materials And Methods: An electronic survey was sent to 518 urology residents and recent graduates, and to 168 practicing pediatric urologists.

Renal cortical deterioration in children with spinal dysraphism: analysis of risk factors.

Background/objective: Because hydronephrosis and reflux are reversible, we believe cortical loss represents true renal deterioration in children with spinal dysraphism. Our goal was to better define risk factors for cortical loss.

Methods: After institutional review board approval, we reviewed the medical records of 272 children with spinal dysraphism.

Umbilical stomal stenosis: a simple surgical revision technique.

Stenosis of stomas sited at the umbilicus presents a surgical challenge. A paucity of literature exists on the surgical management of this problem, despite its relatively frequent occurrence. A simple technique is described, using scar incision and advancement of an umbilical skin flap, to accomplish stomal revision.

Renal cell carcinoma metastatic to gallbladder: a survival advantage to simultaneous nephrectomy and cholecystectomy.

Renal cell carcinoma is a relatively uncommon cancer. Patients presenting with a renal adenocarcinoma are often found to have evidence of metastatic disease at the time of diagnosis. Herein, we describe the case of a 39-year-old male with renal cell carcinoma and a synchronous metastatic focus to the gallbladder.

Novel technique for testicular salvage after combat-related genitourinary injury.

We report a case of traumatic testicular injury resulting in significant loss of both tunica albuginea and seminiferous tubules. Secondary to the substantial tissue loss, our approach to surgical reconstruction required a certain degree of creativity. The injury was managed by creating a single midline testis with two distinct blood supplies.

Diagnosis of blunt bladder injury: A prospective comparative study of computed tomography cystography and conventional retrograde cystography.

Background: This study was designed to evaluate prospectively the accuracy of computed tomography (CT) cystography for the detection of bladder rupture, performed concurrently with screening abdominal/pelvic CT, in patients at risk for blunt bladder injury. The study also aimed to validate our proposed method of performing CT cystography, which was designed to minimize the time and effort required to image the bladder.

Methods: CT cystography was performed on patients at risk for blunt bladder injury.

Clinical utility of ureteral jets: disparate opinions.

Background And Purpose: Many renal/bladder ultrasound scans at our institution include evaluation of ureteral jets, often regardless of the indication for the study. Such jets often are absent in normal volunteers. Because these jets are of unclear clinical significance, we sought to determine if urologists and radiologists nationally agree on the clinical utility of ureteral jets.

Ship in a bottle: rapid extraction of large intravesical foreign bodies.

Objects placed in the bladder often become encrusted with stone. Using a technique combining endoscopic visualization and a small open cystotomy, a large encrusted foreign body was successfully and safely removed. The combination of endoscopy and cystotomy is rapid, safe, and potentially applicable for the removal of large vesical calculi.

Secondary transitional cell carcinoma and nitrogen mustard treatment.

Transitional cell carcinoma (TCC) of the bladder in children is a rare occurrence. Cyclophosphamide is a known risk factor for the development of TCC. Other alkylating agents, such as nitrogen mustard, have not been implicated in the development of secondary adult or pediatric TCC.