Retrocaval ureter with hydronephrosis

Retrocaval ureter is one of the rare congenital anomalies. We report a case of retrocaval ureter who presented with right lumbar pain, renal stone and hydronephrosis. The diagnosis was made on intravenous urography which showed typical "J" shape deformity in the proximal dilated ureter with moderate hydronephrosis. CT scan mapped out the course of ureter. The patient was operated and findings were confirmed. The ureter was transected near the pelvis, renal stone removed and a uretero-uretral anastomosis with anteriorisation of the ureter performed

Pudendal thigh flap for congenital absence of vagina

To increase the armamentarium of plastic surgeons with description of one of the relatively newer flap for the reconstruction of congenital absence of vagina. All patients of congenital absence of vagina selected for surgery were explained every detail about the procedure. Five out of ten opted for this procedure. In all patients bilateral pudendal thigh flap based on posterior labial artery, a branch of internal pudendal artery, were raised on either side of labia. They were sutured in midline and inserted into the neo-vagina created by dissection in between rectum and urinary bladder. This flap was used in five patients with minor postoperative problems and with good anatomical and functional results. Pudendal thigh flap is a useful technique to reconstruct the vagina