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Abdom Radiol (NY) 2019 Apr 11. Epub 2019 Apr 11.

Department of Radiology, Mayo Clinic, 4500 San Pablo Rd S, Jacksonville, FL, 32224, USA.

J Sex Med 2019 Apr 5. Epub 2019 Apr 5.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Background: Urethral injury during inflatable penile prosthesis (IPP) or artificial urinary sphincter (AUS) placement is rare, and traditionally most prosthetic surgeons abort prosthetic implantation when urethral repair is necessary.

Aim: To report our experience with synchronous urethroplasty (SU) as a planned or damage control surgery during urologic prosthetic surgery, to evaluate the safety and outcomes of the procedure.

Methods: A retrospective review of our IPP and AUS database was completed to identify patients who underwent an SU between 2007 and 2018. Read More

Case Rep Urol 2019 5;2019:8458706. Epub 2019 Mar 5.

Department of Urology, Loyola University Medical Center, Maywood, IL, USA.

We describe a case of a 71-year-old male with an isolated recurrence of urothelial carcinoma in an ileal neobladder without involvement of the upper urinary tract or urethra. He was diagnosed with high grade urothelial carcinoma involving a bladder diverticulum with associated carcinoma in situ. He underwent a radical cystectomy and orthotopic Studer ileal neobladder. Read More

Asian J Androl 2019 Mar 15. Epub 2019 Mar 15.

Department of Urology, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing 100045, China.

There is still debate regarding the optimal surgical approach for proximal hypospadias. This retrospective study aims to evaluate the long-term outcomes using transverse preputial island flap urethroplasty. A total of 320 patients were included, with a mean follow-up of 40. Read More

J Pediatr Surg 2019 Feb 28. Epub 2019 Feb 28.

Center for Colorectal and Pelvic Reconstruction-Nationwide Children's Hospital, Columbus, OH 43205, USA.

Purpose: A complication of the surgical management of anorectal malformations (ARMs) is a retained remnant of the original fistula (ROOF) formerly called a posterior urethral diverticulum (PUD). A ROOF may have multiple presentations or may be incidentally discovered during the work-up of ARM after previous surgery. We sought to define the entity and the surgical indications for excision of a ROOF when found. Read More

Int Urogynecol J 2019 Mar 16. Epub 2019 Mar 16.

Department of Obstetrics and Gynaecology, Maitland Hospital, Maitland, NSW, Australia.

Introduction And Hypothesis: Urethral diverticulum in pregnancy is a rare finding and difficult to diagnose. The classical triad of dysuria, dyspareunia and dribbling of urine is found in a minority of women.

Methods: A young woman presented during the first trimester of pregnancy with vaginal and suprapubic pain as well as voiding difficulty. Read More

Urology 2019 Mar 4. Epub 2019 Mar 4.

Division of Female Pelvic Medicine and Reconstructive Surgery, Good Samaritan Hospital Medical Center of Catholic Health Services of Long Island, West Islip, NY.

Objective: To describe the outcomes of a series of women diagnosed with a urethral diverticulum at an urban tertiary care center.

Methods: An Institutional Review Board-approved review of a series of 78 women with a diagnosis of urethral diverticulum from 2009 to 2015 was performed. Clinical, radiographic, and pathologic data was collected by retrospective review of patient medical records. Read More

Can J Urol 2019 Feb;26(1):9675-9679

Department of Urology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Introduction: 2-octyl cyanoacrylate (OC) has been shown to be a viable option for usage following standard circumcision but data on its utilization following hypospadias repair is limited. Both OC and a standard waterproof transparent dressing (WD) are used following hypospadias repair at our children's hospital. Our hypothesis is that patients with distal hypospadias repair using OC for surgical dressing have similar outcomes as compared to patients with WD. Read More

Urologe A 2019 Mar;58(3):271-283

Klinik für Urologie, Evangelisches Krankenhaus Oberhausen, Oberhausen, Deutschland.

Background: Lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) is the fourth most common and the fifth most costly disease in men aged 50 years or older. Despite the high prevalence of LUTS/BPH in clinical practice and evidence-based guideline recommendations, there are still plenty of misconceptions on the terminology and pathophysiology of the disease, leading to false assumptions and malpractice.

Objectives: Listing of commonly used false assumptions and clarification of the correct terminology and pathophysiology. Read More

Pediatr Surg Int 2019 May 14;35(5):611-617. 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 Apr 12;47(4):1620-1627. 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 02;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 2019 Apr 10;37(4):613-618. 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 03;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