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Pediatr Surg Int 2019 Feb 14. Epub 2019 Feb 14.

Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

Introduction: To review the surgical treatment of hypospadias (HP) associated with disorders of sex development (DSD).

Patients And Methods: HP cases were assessed for DSD by gross examination for atypical external genitalia, and assessment of hormone levels and karyotype. There were 58 HP cases with concomitant DSD treated between 1999 and 2017. Read More

J Int Med Res 2019 Feb 12:300060519826449. Epub 2019 Feb 12.

1 Department of Urology, Children's Hospital of Nanjing Medical University, Nanjing, China.

Objective: Transverse island pedicle flap (TIPF) plus transected urethral plate-preserving urethroplasty is increasingly used for treatment of severe hypospadias. We aimed to reduce the occurrence of urethral strictures in patients undergoing such procedures.

Methods: Sixty-five patients with severe hypospadias were enrolled. Read More

Arch Esp Urol 2019 Jan;72(1):91-92

Hospital Universitario de Fuenlabrada. Madrid. España.

A 38 year old woman with nopast medical or surgical history of interest,derived by occasional dysuria and post voidincontinence by her family doctor, with negativeurine culture... Read More

J Investig Med High Impact Case Rep 2019 Jan-Dec;7:2324709619828408

1 Brookdale University Hospitals and Medical Center, New York, NY, USA.

Female urethral diverticular cancer is a very rare entity with only around 100 cases reported so far in literature and accounts for <1% of all malignancies. In this article, we present a 47-year-old African American female with repeated hospital visits for urinary retention, hematuria, and urinary tract infections. Initial computed tomography imaging and cystoscopy was unremarkable except for a distended urinary bladder. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):223-226

Department of Pediatric Surgery in Children's Medical Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu Sichuan, 610072, P.R.China.

Objective: To discuss the reoperation methods of urethral stricture after urethroplasty of hypospadias and their effectiveness.

Methods: Between September 2010 and April 2018, 169 patients with urethral stricture after urethroplasty of hypospadias, who underwent ineffective conservative treatments first, were accepted. The age ranged from 1 year and 7 months to 41years with a median age of 5 years and 8 months. Read More

Obstet Gynecol 2019 Feb;133(2):308-311

Department of Obstetrics and Gynecology, Saint Louis University School of Medicine, and Saint Louis University School of Medicine, St. Louis, Missouri.

Background: Primary small cell neuroendocrine carcinoma of the urinary tract is a very rare cancer, accounting for fewer than 0.5% of urinary tract tumors. These are aggressive neoplasms with high rates of metastases. Read More

Case Rep Urol 2018 4;2018:6183618. Epub 2018 Nov 4.

West Virginia University, Department of OB/GYN, Morgantown, WV, USA.

A urethral diverticulum is a relatively uncommon finding. The estimated prevalence is approximately 1-5% in the general population. While the definitive treatment is surgical correction, there are limited studies guiding the best approach to repair. Read More

Transl Androl Urol 2018 Dec;7(6):907-911

1Department of Urology, 2Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Background: To evaluate the feasibility of use of rectal mucosal grafts for augmentation urethroplasty.

Methods: A series of five patients who underwent rectal mucosal graft urethroplasty for urethral stricture disease were identified. Descriptive statistics were used to describe these patients. Read More

Tunis Med 2018 Jun;96(6):391-392

Urethral diverticulum of the male is uncommon. We report a case of bulbar urethraldiverticulum with contained giant calculus presenting as left inguino-scrotal swellingsecondary to peri-urethral abscess in a 40 year-old male. In the light of this case Weemphasize the importance of investigation for the presence of urethral diverticulum in youngmale individuals presenting with voiding disturbances to preventrelated complications. Read More

Neurourol Urodyn 2019 Jan 9;38(1):180-186. Epub 2018 Nov 9.

Department of Urology, University College London Hospitals NHS Foundation Trust at Westmoreland Street, Marylebone, London.

Aims: The complexity of urethral diverticulectomy depends on location, size, and degree of circumferential involvement. MRI features were examined to predict functional outcome after surgery for urethral diverticulum (UD).

Methods: A prospectively acquired database was of all patients who have had surgical excision of UD at a tertiary center since 2004 was reviewed. Read More

World J Urol 2018 Oct 10. Epub 2018 Oct 10.

Department of Urology, University Children's Hospital, Tirsova 10, Belgrade, 11000, Serbia.

Purpose: Severe hypospadias repair still presents a great challenge. We evaluated a novel approach of using a specially shaped buccal mucosa graft for simultaneous ventral tunica grafting and new urethral plate creation, in combination with longitudinal dorsal island skin flap, as a one-stage repair of severe hypospadias.

Methods: Between July 2014 and September 2017, 26 patients (aged from 12 to 22 months) underwent scrotal hypospadias repair. Read More

J Pediatr Urol 2018 Oct 23;14(5):424.e1-424.e9. Epub 2018 Aug 23.

Hypospadias Centre, Department of Pediatric Surgery, Emma and Sana Klinikum Offenbach Hospitals, Germany. Electronic address:

Purpose: Perineal hypospadias correction has swung from two-stage repair in the 1960s to one-stage repair in the 1980s and back to two-stage repair in the 2000s. The author's experience with a technique in which Chordee Excision and Distal Urethroplasty (CEDU) was performed at the first operation leaving a 1-cm segment as perineal urethrotomy to be reconstructed at the second operation is presented.

Patients And Methods: Between January 2013 and December 2016, the CEDU technique was performed in 63 patients with perineal hypospadias. Read More

Urol Case Rep 2018 Nov 20;21:101-103. Epub 2018 Sep 20.

Urology Department, Charles Nicolle Hospital, Tunis El Manar University, Faculty of Medecine of Tunis, Tunis, Tunisia.

J Emerg Med 2018 Dec 22;55(6):e159-e161. Epub 2018 Sep 22.

Regions Hospital, Saint Paul, Minnesota and University of Minnesota Medical School, Minneapolis, MN.

Transl Androl Urol 2018 Aug;7(4):703-729

Department of Urology, University College London Hospitals, London, UK.

The aims of our study were to describe our case series of three urethral diverticulum carcinomas (UDC) in women and to review the literature on UDC in females to determine patient characteristics, presenting symptoms and outcomes along with optimal investigations and treatment modalities. A literature search was performed utilizing Medline, EMBASE and the Cochrane library for all papers including case reports on UDC in women published to date. The results along with those of our three cases are detailed. Read More

BMJ Case Rep 2018 Sep 12;2018. Epub 2018 Sep 12.

Pediatric Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India.

Int Urogynecol J 2018 Sep 3. Epub 2018 Sep 3.

Department of Urology, Bichat Claude Bernard Hospital, Assistance Publique Hôpitaux de Paris, Paris-Diderot University, 46, rue Henri Huchard, 75018, Paris, France.

Introduction And Hypothesis: Managing urethral diverticula is challenging because of recurrence rate and postoperative complications. Herein, we report a standardized, single-institution experience of surgical treatment of urethral diverticula in women.

Methods: The medical record of 37 female patients treated for urethral diverticula between 2005 and 2017 in a single institution were reviewed. Read More

Int Urol Nephrol 2018 Oct 18;50(10):1795-1800. Epub 2018 Aug 18.

Department of Urology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Objective: Because of the complexity of the abnormalities and limited options for reconstruction of failed hypospadias, creating a neourethra presents a challenge to surgeons. We reviewed our experiences with staged urethroplasty strategies to repair the penis of failed hypospadias.

Materials And Methods: We retrospectively reviewed 56 consecutives patients following multiple unsuccessful hypospadias repairs from 2010 to 2016. Read More

Pediatr Surg Int 2018 Oct 17;34(10):1111-1115. Epub 2018 Aug 17.

Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Japan.

Purpose: Laparoscopic-assisted anorectoplasty (LAARP) is a minimally invasive procedure in which the levator ani muscle is left to potentially improve postoperative fecal continence. This study aimed to retrospectively evaluate postoperative complications and long-term outcomes of fecal continence after LAARP and compare them to those after posterior sagittal anorectoplasty (PSARP).

Methods: Forty-five male patients with high and intermediate anorectal malformation (aged ≥ 4 years) who underwent LAARP or PSARP (LAARP 29, PSARP 16) from 1999 to 2013 were included. Read More

Hinyokika Kiyo 2018 Jul;64(7):307-311

The Department of Urology, Osaka General Medical Center.

We report two cases of clear cell adenocarcinoma arising in the urethral diverticulum. Case 1 occurred in a 79-year-old woman presenting with complaints of frequent micturition. Magnetic resonance imaging (MRI) revealed a localized urethral diverticular tumor. Read More

J Laparoendosc Adv Surg Tech A 2018 Aug 1. Epub 2018 Aug 1.

1 Department of Pediatric Surgery, Capital Institute of Pediatrics , Beijing, People's Republic of China .

Background: We compared the safety and feasibility of single-incision laparoscopic surgery (SILS) and conventional laparoscopic-assisted anorectoplasty (CLAARP).

Materials And Methods: We compared sacral ratio, age, operation time, blood loss, and length of hospital stay after the operation, and complications in 105 patients with rectobladderneck and rectourethral fistula who underwent operations from January 2010 to May 2014 in our institution (SILS, n = 51; CLAARP, n = 54). The Krickenbeck classification was used to evaluate the anorectal functions. Read More

BMJ Case Rep 2018 Jul 15;2018. Epub 2018 Jul 15.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Urol Case Rep 2018 Sep 8;20:30-32. Epub 2018 Jun 8.

Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Iran J Vet Res 2018 ;19(1):57-59

Division of Surgery, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India.

A 40 kg crossbred calf of one month age was presented to the Institute Referral Polyclinic, with a history of dysuria, stranguria along with a fluctuant swelling in the mid-perineal region. On physical examination, a diverticulum was observed which on aspiration revealed urine. It was reported that urine outflow was from a tiny orifice at the proposed natural site of the vulva. Read More

Urol Case Rep 2018 May 28;18:82-83. Epub 2018 Mar 28.

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, 14611, Saudi Arabia.

J Laparoendosc Adv Surg Tech A 2018 Aug 9;28(8):1029-1034. Epub 2018 May 9.

1 Department of Pediatric Surgery, Capital Institute of Pediatrics , Beijing, People's Republic of China .

Background: Congenital recto-urethral fistula (RUF) is the most common form of anorectal malformations (ARMs) found in boys. The aim of this study is to review our experience with one-stage laparoscopic procedure in the management of ARMs with recto-prostatic fistula and recto-bulbar fistula.

Methods: Seventeen boys with congenital RUF who underwent one-stage laparoscopy-assisted anorectoplasty (LAARP) between July 2012 and June 2015 were retrospectively in the study. Read More

Curr Urol 2018 Mar 20;11(3):163-165. Epub 2018 Feb 20.

Department of Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center, New York, NY, USA.

We present an incidental finding and management of a urethral diverticulum containing mixed composition of struvite and ammonium urate stones. Status post sleeve gastrectomy, patient presented to our bariatric clinic with epigastric pain associated with nausea and vomiting. A computed tomography scan was performed to rule out any complications of the procedure in which urethral stones were reported contained within a diverticulum. Read More

J Ultrasound Med 2018 Dec 24;37(12):2881-2889. Epub 2018 Apr 24.

Department of Ultrasound in Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Objectives: To explore the value of transurethral contrast-enhanced ultrasonography (CEUS) in the diagnosis and evaluation of female urethral diverticula.

Methods: This study prospectively enrolled 35 women with periurethral cystic lesions, who underwent preoperative transurethral CEUS at our single center between April 2015 and May 2017. The diagnosis of a urethral diverticulum was made by the detection of microbubbles inside the lesion. Read More

Urol Case Rep 2018 May 22;18:14-15. Epub 2018 Feb 22.

Department of Urology, Kurume University School of Medicine, Kurume, Japan.

Urinary stones in female urethral diverticulum are rarely seen. We report a 79-year-old woman who presented with irritative lower urinary tract symptoms and vaginal cystocele with incontinence. The urethral stones in the diverticulum were successfully extracted through the trans-urethral route and anterior tension-free vaginal mesh was applied one month later. Read More

Hinyokika Kiyo 2018 Feb;64(2):67-69

The Department of Pathology, Osaka Police Hospital.

Adenocarcinoma arising from the female urethral diverticulum is very rare, as only about 100 cases have been reported worldwide. An 82-year-old woman presented with asymptomatic macrohematuria. A transvaginal examination revealed a firm circular mass on the anterior vaginal wall. Read More

J Pediatr Surg 2018 Aug 21;53(8):1461-1463. Epub 2018 Mar 21.

Urology and Nephrology Center, Mansoura University, Egypt.

Objective: To detect whether grafting the incised plate during Snodgrass repair would improve outcome.

Materials And Methods: Sixty patients with primary distal hypospadias were included. Patients were equally randomized using closed envelop method to either Snodgrass or grafted tubularized incised plate repair (GTIP). Read More

Female Pelvic Med Reconstr Surg 2018 Apr 11. Epub 2018 Apr 11.

Introduction: Thousands of medical applications (apps) are available for mobile devices. Finding accurate, health care provider-centered apps may be time consuming and frustrating for urogynecologists. The objective of this study was to identify and evaluate urogynecology (urogyn) apps using a modified APPLICATIONS scoring system. Read More

Can Vet J 2018 Mar;59(3):243-248

Alta Vista Animal Hospital, 2616 Bank Street, Ottawa, Ontario K1T 1M9.

A 2-year-old neutered male dog with a history of urinary incontinence, recurrent urinary tract infections, and unilateral cryptorchidism was presented with an acute onset of perineal swelling. Urinary contrast studies revealed a urothelial lined structure in the perineum. Surgical resection of 80% to 90% of this structure, suspected to be a congenital urethral diverticulum, was successful. Read More

Acta Med Hist Adriat 2017 Dec;15(2):329-338

Department of Pathology, Non Public Health Care Unit, Kielce, Poland.

Professor Zofia Umiastowska Sawicka laid the foundations for modern pediatric surgery in Poland, first in Bialystok, and subsequently in Kielce. She was a student of Prof. Jan Kossakowski from Warsaw Medical University to be counted among his most talented and skilled disciples. Read More

Urologiia 2017 Dec(6):59-64

N.N. Silishcheva Regional Childrens Clinical Hospital, Astrakhan, Russia.

Aim: Recent advances in the field of minimally invasive surgical technologies in children and adolescents have led to the development of vesicoscopic (transvesical, pneumoscopic) access (VA). Current limitations in using VA emphasize the need for further studies investigating surgical options for the management of various pathological conditions of the bladder and ureterovesical junction, the features of surgical techniques and the course of the early postoperative period when used in pediatric urological practice.

Materials And Methods: From 2013 to 2017, 157 patients (79 girls and 78 boys) aged between 2 months and 18 years (mean age 4. Read More

BMJ Case Rep 2018 Jan 23;2018. Epub 2018 Jan 23.

Department of Obstetrics and Gynaecology, Logan Hospital, Meadowbrook, Queensland, Australia.

A 43-year-old woman with an anterior vaginal wall mass was referred to gynaecology outpatient for diagnosis and management. Clinical assessment was indicative of a urethral diverticulum, however MRI and ultrasound imaging suggested a Gartner's duct cyst. Following excision of the lesion, histology revealed evidence of an endometriotic cyst. Read More

J Am Vet Med Assoc 2017 Dec;251(11):1313-1317

CASE DESCRIPTION A 5-year-old sexually intact female guinea pig was evaluated because of mild dysuria and a subcutaneous mass located cranioventral to the urogenital openings. CLINICAL FINDINGS Non-contrast-enhanced CT and surgical exploration of the distal aspect of the urethra revealed a urethral diverticulum with an intraluminal urolith. Analysis revealed that the urolith was composed of calcium carbonate and struvite. Read More

J Pediatr Urol 2017 Dec 19;13(6):625.e1-625.e6. Epub 2017 Jun 19.

PARC Urology, 5680 Frisco Square Blvd., Suite 2300, Frisco, 75033, TX, USA.

Introduction: Two reports have found that urethral plate (UP) widths <8 mm before tubularized incised plate (TIP) incision increased urethroplasty complications. The present study measured pre-incision UP width in consecutive boys undergoing TIP to determine if it affected outcomes.

Methods: The present study followed the method previously used by Holland and Smith, and Sarhan et al. Read More

Urol Ann 2017 Oct-Dec;9(4):321-323

Department of Urology, University College Hospital, London, UK.

Context: Excision of urethral diverticulum in females has been reported to be associated with new onset urodynamic stress urinary incontinence (USUI) in up to 49%.

Aims: We have assessed the incidence of new onset USUI in all patients having urethral diverticulum excision with Martius fat pad interposition under the care of a single surgeon between May 1, 2007, and December 1, 2011. The incidence of new onset USUI has been correlated with the preoperative magnetic resonance imaging (MRI) appearance of the urethral diverticulum. Read More

Am J Case Rep 2017 Oct 13;18:1095-1098. Epub 2017 Oct 13.

Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

BACKGROUND A case report of urethral diverticulum complicating pregnancy is presented. The diagnosis and management are challenging because of the rare nature of this condition, the varied presentations and differential diagnoses, and the possibility of misdiagnosis. CASE REPORT A 25-year-old primigravida with scheduled induction of labor at 39 weeks gestation due to gestational diabetes mellitus presented for a routine antenatal appointment at 38 weeks and four days. Read More

J Pediatr Surg 2017 Dec 4;52(12):1994-1996. Epub 2017 Sep 4.

Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Background/purpose: We evaluated routine intraoperative residual rectourethral fistula measurement (IRRFM) in 20 consecutive male imperforate anus with recto-bulbar (RB; n=12) or recto-prostatic (RP; n=8) fistula during laparoscopically assisted anorectal pull-through (LAARP) for preventing incomplete fistula excision (IFE) on mid-term follow-up.

Methods: Twenty consecutive LAARP performed at a mean age of 10months (range: 3-30) followed-up for a mean of 4.8years (range: 1. Read More

J Pediatr Urol 2018 Feb 9;14(1):28.e1-28.e8. Epub 2017 Aug 9.

Pediatric Urology, Alexandria Insurance Children's Hospital, Alexandria, Egypt.

Introduction: Repair of posterior hypospadias is a current dilemma. Single versus staged repair is the main question to answer. The answer is not easily reached due to lack of comparative studies. Read More

J Chin Med Assoc 2017 Nov 12;80(11):712-716. Epub 2017 Aug 12.

Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Shu-Tien Urological Science Research Center, Taipei, Taiwan, ROC.

Background: Few studies have focused on the urodynamic findings of urethral diverticula (UD). We characterized the symptoms and urodynamic findings in women with UD.

Methods: A retrospective review of all women in a single center having surgical treatment for symptomatic UD between May 2004 and September 2014 was done. Read More

Taiwan J Obstet Gynecol 2017 Aug;56(4):534-537

Fellow of the Division of Urogynecology, Department of Obstetrics &Gynaecology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Al-Bashir Hospital, Amman, Jordan.

Objective: Urethral diverticulum is uncommon, therefore appropriate evaluation, preoperative planning and counseling must be done in order to make correct diagnosis and prevent complications.

Materials And Methods: A case of anterior vaginal wall mass was treated elsewhere by a gynecologist as periurethral cyst abscess; incision and drainage were done but a symptom of pus discharge was observed after 2 weeks. Therefore, exploration, cyst wall excision and primary closure were done though histopathological examination surprisingly confirmed the presence of urethral tissue suggestive of diverticulum. Read More

Prog Urol 2017 Sep 7;27(11):601-602. Epub 2017 Aug 7.

Service d'urologie-andrologie, CHU Aristide Le Dantec, Dakar, Sénégal.

Transl Androl Urol 2017 Jul;6(Suppl 2):S81-S87

University College London Hospital, London W1G 9PH, UK.

The Martius modified labial fat pad flap at nearly 90 years old is still very much part of the modern vaginal surgeon's armamentarium. Here we describe this straightforward and adaptable technique, the avoidance of pitfalls, its advantages and uses in vaginal surgery, and outcomes both short and long term. Specifically patient reported outcomes related to scar perception and sexual function are explored. Read More

Int J Surg Case Rep 2017 25;38:192-195. Epub 2017 Jul 25.

Jordan University Hospital, Queen Rania Street, Amman 11942, Jordan. Electronic address:

Introduction: We present a case of Alkaptonuria (AKU) presented with severe lower urinary tract symptoms (LUTS) secondary to extensive prostatic calculi deposited in the para prostatic diverticulum. Prostatic calculi are seen in chronic prostatitis, chronic pelvic pain syndrome and benign prostate hyperplasia; however, in patients with AKU, prostatic calculi and/or calcifications are more extensive. A para prostatic diverticulum is a rare entity in males; however, it should be considered in patients with AKU based on this case report. Read More

Aktuelle Urol 2017 Dec 20;48(6):576-579. Epub 2017 Jul 20.

Klinik für Urologie, Uro-Onkologie, spezielle urologische und roboter-assistierte Chirurgie, Universitätsklinikum Köln.

A female urethral diverticulum (UD) is a rare condition with a prevalence of 0.6 - 4.7 %. Read More

Curr Urol Rep 2017 Sep;18(9):70

Eastern Virginia Medical School, Norfolk, VA, USA.

Lower urinary tract symptoms (LUTS) after urethral stricture repair are not uncommon. Urgency has been reported in 40% of men and urge incontinence in 12% of men after anterior urethroplasty. De novo urgency and urge incontinence is seen in 9 and 5% of men, respectively, after urethroplasty. Read More

Am J Obstet Gynecol 2017 10 27;217(4):482. Epub 2017 Jun 27.

Department of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.