ABSTRACT
OBJECTIVES: To develop a new technique to repair congenital and acquired megaurethra without opening the enlarged urethra. METHODS: A urethral plication similar to the Starr ureteral plication was developed, which allows the urethra to be plicated without opening into the lumen. This technique also allows the operation to be done in conjunction with hypospadias repairs. RESULTS: Eight of 10 patients had uneventful recoveries. One had obstruction and infection that resolved with drainage and antibiotics. A coronal margin fistula developed in a patient who had urethral plication as well as urethral advancement. CONCLUSIONS: This new urethral plication eliminates the need for opening the urethra and its associated complications while preserving urethral blood supply and allowing associated hypospadias repairs to be simultaneously performed.
Subject(s)
Diverticulum/surgery , Urethra/surgery , Urethral Diseases/surgery , Child, Preschool , Diverticulum/etiology , Follow-Up Studies , Humans , Infant , Male , Postoperative Complications/epidemiology , Postoperative Complications/therapy , Surgical Procedures, Operative/methods , Urethra/abnormalities , Urethral Diseases/etiologyABSTRACT
Vascular aneurysms can present with signs and symptoms of urological disease. We report on a 74-year-old man who underwent urological referral because of an abnormal prostate on rectal examination. Diagnostic evaluation revealed large, abdominal aortic and iliac artery aneurysms with prostate and bladder displacement.
Subject(s)
Aortic Aneurysm, Abdominal/diagnosis , Iliac Aneurysm/diagnosis , Prostatic Neoplasms/diagnosis , Aged , Aortic Aneurysm, Abdominal/complications , Diagnosis, Differential , Humans , Iliac Aneurysm/complications , MaleABSTRACT
We describe a 34-year-old man who survived a massive pulmonary embolus caused by renal cell cancer tumor emboli. The literature and clinical presentation are discussed.
