Factors Accountable for Unabated Obstruction Following Pyeloplasty.

Purpose: Split renal function (SFR) and frusemide washout (FWO) are assessed by the DTPA renogram to measure the renal parenchymal functions as well as the evidence of obstruction, both for diagnosis and to treat the pelviureteric junction obstruction. In good number of renal units, both these parameters remain unaltered even after surgery and cause anguish to parents and referring physicians and are usually attributed toward "defective pyeloplasty." In this study, we have tried to single out the bona fide responsible factor for the bad outcome; either the nonreversible kidney or the restenosis of pyeloplasty.

Vestibulo-Rectal Pull Through in H-Fistula in Girls.

Aims And Objectives: Vestibulo-rectal pull-through (VRPT) in H-fistula in girls was first described by Chatterjee . We are presenting our experience with this approach in 47 cases.

Materials And Methods: We have total 47 cases of which one is a recurrent fistula operated outside.

Regenerative urethroplasty in reoperative hypospadias: Buried strip principle revisited.

Aim: Reporting the feasibility of the Denis Browne (buried strip) principle along with tunica vaginalis (TV) pedicled wrapping of the strip in reoperative urethroplasty in hypospadias.

Materials And Methods: Over a period of 5 years, 32 patients presented with failure of previous urethroplasty and the range of failure was between 2 and 6 times; mean 2.5 times.

Novel bladder augmentation in a bilateral single system vaginal ectopia.

A 3-month-old girl presented with total urinary incontinence along with small bladder and bilateral single-system vaginal ectopic ureters [BSSVEU]. Bladder augmentation was done with dilated ureters (ureterocystoplasty) based on proximal blood supply of the ureters.

Ischiopagus tetrapus conjoined twins: 22 years after separation.

There is no record of both separated ischiopagus tetrapus conjoined twins leading normal lives 22 years after separation. We separated a pair of such twins in 1986 and have followed them up till date. Details regarding the technique of separation and the procedures required to ensure normal defecation and micturition and normal musculoskeletal function have been described by us in earlier communications.

Congenital pouch colon: an unusual histological finding.

Congenital pouch colon (CPC) is an unusual abnormality in which the colon ends in a pouch-like dilatation and there is generally an associated anorectal malformation. The condition varies from complete absence of normal colon to a nearly normal length of proximal colon with only recto-sigmoid involvement. There is a paucity of data on histological findings in cases of pouch colon.

Rectourinary perineal fistula--a unique anomaly.

Two patients who presented with a unique anorectal malformation are described. They had what we have named rectourinary perineal fistula. The first patient had a more severe malformation, rectovesicoperineal fistula, and has been followed up for 28 years.

Lipoblastomatosis--a case report.

Lipoblastoma and lipoblastomatosis are benign fatty tumors of soft tissues that are unique to childhood. A male infant aged 5 months presented with a history of recurrent lump in the left scapular region. He had been operated upon for the same lump 2 months earlier.

Perineal groove with penoscrotal hypospadias.

We describe a boy who presented with penoscrotal hypospadias with bifid scrotum as well as a perineal groove. The operative procedures carried out have been delineated and the reasons for our reporting this case are explained.