Giant Congenital Melanocytic Nevus of the Male External Genitalia: A Pediatric Case Report of Diagnosis, Evaluation and Management.

Congenital melanocytic nevi are present at birth or develop within the first few months of life. Giant congenital melanocytic nevi are a rare variant and may involve the external genitalia with a confluent "bathing trunk" distribution. Rapid growth of proliferative nodules of melanocytic cells may cause disfigurement and anatomical distortion resulting in psychological distress and loss of functionality. We report the case of a neglected 17-year-old nonverbal male who received a resection of a Giant Congenital Melanocytic Nevi (GMN) engulfing the penis and scrotum with final resected dimensions of 36.0×20.0×8.0 cm.

The Urologist's Guide to Religion and Male Factor Fertility Treatment.

OBJECTIVES: To create a reference guide for six of the major U.S. religions for use by reproductive health specialists to provide patient-centered care for a culturally diverse patient population. MATERIALS AND METHODS: We utilized primary source reviews of various religious texts and verified electronic databases to examine perspectives on use of, in vitro fertilization (IVF), intrauterine insemination (IUI), sterilization procedures such as vasectomy and tubal ligation, and surrogacy for six major U.S. religions: Catholicism, The Church of Jesus Christ of Latter-Day Saints (LDS), Hinduism, Judaism, Buddhism, and Islam. Each statement of religious belief was either taken directly from primary source documents or cross-referenced across several secondary sources to ensure accuracy. Perspectives were compiled into a reference document and table for clinical use. RESULTS: Most religions have focused statements concerning assisted reproduction and vasectomy. While there are caveats for most religions, IVF and IUI are largely opposed only by the Catholic church, surrogacy is not permissible in the LDS Church, Catholic Church, and Islam, and vasectomy is not permissible for the Catholic Church, LDS Church, Judaism, and Islam. Similarly, tubal ligation is also not permitted for these religions with the exception of Judaism of which while vasectomy is considered a violation of the Torah, sterilization of a woman is not explicitly discussed in the old testament. Instead, a rabbinic decree states permanent female sterilization as against the views of the faith. The religions with the most lenient rules concerning reproduction and permanent contraception explored include Buddhism and Hinduism each of which have no reservations pertaining to IVF, IUI, surrogacy, or permanent sterilization. CONCLUSION: Religion often plays a significant role in patients' attitudes towards use of ART, permanent sterilization, and surrogacy. Familiarity with the religious beliefs and perspectives is important for the reproductive health specialist in order to provide appropriate counseling for their patients. IMPACT STATEMENT: A summative reference guide can help provide patient-centered care for reproductive health and family planning.

Case report: Bladder to lumbar spinal hardware fistula managed via partial cystectomy and removal of offending piece of spinal hardware.

A bladder to lumbar hardware fistula has never been reported. We report the case of a 67 year old male who presented with a bladder to lumbar spinal hardware fistula approximately four years following an L4-S1 anterior lumbar internal fixation. It was identified through the use of CT cystogram. His case was managed first with cystoscopy and interrogation of the fistula with a Glidewire followed by partial cystectomy and removal of some of the offending spinal hardware.

Polygamy, piousness, and the practice of medicine: Understanding Brigham Young and the predominance of female medical providers in early Utah.

The nineteenth century Mormon Prophet, Brigham Young, has long been lauded as progressive for sending dozens of Mormon women from the Utah territory to receive a formal medical education at The Women's Medical College of Pennsylvania. This manuscript comes to a contrary conclusion through close reading of diaries and journals created by these same women and the public speeches of the Prophet himself. These texts have historically been held up as evidence of Prophet Young's encouragement of women as physicians. This new interpretation of historical texts includes stringent study of his speeches, as they were originally reported, alongside later citations by historians from within the faith that decontextualized his words to fit the Church's predominant narrative. This manuscript concludes that, contrary to Church tradition, the historical record provides evidence of Young's desire to enforce limits and separations along traditional gender lines rather than showing an intent to change those cultural norms.