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BACKGROUND Controversy exists with the use of the acromioclavicular hook plate for the treatment of lateral-third clavicle fractures (Neer type II). This is thought to stem from problems associated with the hook plate causing impingement symptoms, which can cause long-term limitation of movement and pain. Our aim was to evaluate the functional outcomes of(More)
A total of 26 boys with bladder exstrophy (20) and epispadias (6) underwent initial urethral reconstruction between 1988 and 1991 using the Cantwell-Ransley technique. Penile reconstruction included wide mobilization of the urethral plate from the underlying corpora based on a mesentery from the ventral penoscrotal skin, corporeal lengthening by dividing(More)
PURPOSE We review the outcome of stopping prophylactic antibiotics in children with persistent vesicoureteral reflux (VUR). MATERIALS AND METHODS We performed a retrospective chart review of patients with VUR followed off antibiotics during the last 12 years. Selection criteria included children 4 years old or older who were toilet trained, could(More)
The pilon fracture is a complex injury. The purpose of this study was to evaluate the outcome of minimally invasive techniques in management of these injuries. This was a prospective study of closed AO type C2 and C3 fractures managed by early (<36 hours) minimally invasive surgical intervention and physiotherapist led rehabilitation. Thirty patients with(More)
INTRODUCTION Phimosis is defined as the inability to retract the foreskin. Differentiating between physiological phimosis and pathological phimosis is important, as the former is managed conservatively and the latter requires surgical intervention. Referrals of patients with physiological phimosis to urology clinics may create anxiety regarding the need for(More)
A total of 13 men born with classical bladder exstrophy underwent magnetic resonance imaging examination of the pelvis to evaluate the size and configuration of the prostate and pelvic organs. Mean patient age was 25.2 years (range 19 to 38). Of the patients 4 are voiding per urethram and 9 have undergone urinary division. Measurements included prostate(More)
Ureteral reimplantation is a procedure commonly performed by both urologists and pediatric surgeons. Although the vast majority are successful, there are some patients in whom technical considerations or bladder/ureteral abnormalities militate against success. We review our experience in 19 patients with multiple failed reimplants. The reasons for their(More)
OBJECTIVE Perinatal testicular torsion (PTT) is a rare event with controversies surrounding its etiology, prebsentation, surgical management and sequelae. Our survey assessed the preferences of pediatric urologists with regard to its management. METHODS Four cases of unilateral PTT and a questionnaire containing 11 questions about management of common(More)
INTRODUCTION Circumcision has been the traditional treatment for phimosis. Recent reports of medical management of phimosis with topical steroids quote success rates of 67%-95%. We present our results with topical steroid therapy for treatment of phimosis. MATERIALS AND METHODS Retrospective review of 69 boys between the age of 3 and 13 years (average(More)
In our hands, the Benchekroun hydraulic ileal valve has proved to be a very reliable continence mechanism. The patient is provided with a cosmetically acceptable stoma that creates diurnal and nocturnal continence and ease of catheterization. Stomal stenosis has occurred in several patients in our series and has been managed successfully with dilatation or(More)