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Congenital posterior urethral valves
514
INTERNATIONAL
CONGENITAL POSTERIOR L~KETHML V.41.vm. D. G. Ellis, E. W. Fonkalsrud and J. P. Smith. J. Ural. 95:549-554, April 1966. The
authors
present
their
experience
in
ABSTRAmS
OF
Zachan-Christiansen. 41:198, April 1966.
PEDIATRIC
Arch.
SURGERY
1Xs.
Child.
The authors investigated the position of the testes during the first 3 years of life in
39 patients with posterior urethral valves seen at Cohlmbus Children’s Hospital in the past 18 years. Fifteen patients survived. They stress the need for prompt decompression of the upper urinary tract as soon as
4.500 boys boys. babies and 17.2
the diagnosis is made, achieving drainage by either nephrostomv or ureterostomy, since suprapubic drainage is not adequate (bladder wall hvpertrophy sccondarv to produces intramllral urethral obstruction ureteral obstruction). They believe nephrostomy is less satisfactory than cutaneous ureterostomy because of the additional rraction and infection introdlwed 1,~ neph-
position by the age of 1 year. Between 1 and 3 vears cone were found to descend. In several cases a testis was found to be at a higher level at the age of 1 or 3 years than it was at birth; it is suggested that such ascending testes may provide some of the ectopic testes of later childhood. Apart from
rostomy pression
tubes. After of the urinarv
preliminarv decontract. in those cases
1.8 per cent of full-term per cent of premature
babies had unilateral or bilateral undescent at birth. Seventy-five per cent of testes undescended at birth had taken up a normal
the last observation, the authors’ findings are in general agreement with those of Scorer.-,/. H. Johnston.
where renal function is markedly impaired, a direct attack is made on the \:alves, thP bladder neck is resected as well. If bladder
SPOXTAKEOUS DESCENT OF THE TESTICLE. 1. J. Cow-Pal&. Lancet 1:1403, June 1966.
changes are permanent, cutaneous ileollreterostomy is a satisfactory means of urinary diversion.-W. H. Hen&en.
Of 4.580 boys examined by school doctors 134 (2.88 per cent) were considered to
COMPLETE BOY. J.
URETHRAL DUPLICATION IN A G. Olsen. J. Urol. 95:718-780.
May 1966. A case report of a 5 year old boy who had voided intermittently with 2 stream< since birth. There were 2 urethras. The dorsal urethra was totally excised, resulting in cosmetic a satisfactorv result without chordee or incontinence.-W. H. Hen&en. POSSIHLE I%II.SIS.I.EN~: 017 235~ WHOLE MESONEPHHIC: DUCT ASSOCIAIW) WITH OIXER C~NGEKI~.AL ABNORMALITIES. B. Declin and W. W. Wegins-Dacies. Brit. J. lirol. 38:208, April 1966. A case is described of an 11 years old boy with an nndescended right testis. At operation, besides a normal vas deferens. a duct extended from the epididymis to the loin. Investigations revealed congenital absense of the right kidney and llreter. The authors suggest that the duct represented a persistence of the upper part of the mesonephric dllct.--1. II. Jolmrtor~.
have unilateral or bilateral testicular undescent. The boys were re-examined by the author when the diagnosis was confirmed in 36 (0.78 per cent). The high retractile testis was classified as normal. When this figure (0.78 per cent) is compared with those relating to the incidence scended testis at 1 year of age (0.7 and in young adults (0.5 per cent), cluded that spontaneous testicular after infancy is very rare.-./. H. IDIOPAYHIC SCROTAL
EDEMA.
high and J. S. S. Stewart. S.3:419. May 1966.
of undeper cent) it is condescent Johnston.
D. M. EssenBrit.
J. Surg.
Among 7 cases of scrotal swelling admitted to hospital during 5 years there were 4 described as “idiopathic.” There is extension of the induration into the groin. Differential diagnosis from torsion or testis may need exploration.--R. B. Zachary. TRANSPOSITION OF PENIS AND SCROTUM. D. Remzi. J. Urol. 95:555-557. April 1966. A case report of an 11 year old boy whose penis was situated in the perineum, between Twelve similar cases anlls ant 1 scrotnm.
INTERNATIONAL
CONGENITAL POSTERIOR L~KETHML V.41.vm. D. G. Ellis, E. W. Fonkalsrud and J. P. Smith. J. Ural. 95:549-554, April 1966. The
authors
present
their
experience
in
ABSTRAmS
OF
Zachan-Christiansen. 41:198, April 1966.
PEDIATRIC
Arch.
SURGERY
1Xs.
Child.
The authors investigated the position of the testes during the first 3 years of life in
39 patients with posterior urethral valves seen at Cohlmbus Children’s Hospital in the past 18 years. Fifteen patients survived. They stress the need for prompt decompression of the upper urinary tract as soon as
4.500 boys boys. babies and 17.2
the diagnosis is made, achieving drainage by either nephrostomv or ureterostomy, since suprapubic drainage is not adequate (bladder wall hvpertrophy sccondarv to produces intramllral urethral obstruction ureteral obstruction). They believe nephrostomy is less satisfactory than cutaneous ureterostomy because of the additional rraction and infection introdlwed 1,~ neph-
position by the age of 1 year. Between 1 and 3 vears cone were found to descend. In several cases a testis was found to be at a higher level at the age of 1 or 3 years than it was at birth; it is suggested that such ascending testes may provide some of the ectopic testes of later childhood. Apart from
rostomy pression
tubes. After of the urinarv
preliminarv decontract. in those cases
1.8 per cent of full-term per cent of premature
babies had unilateral or bilateral undescent at birth. Seventy-five per cent of testes undescended at birth had taken up a normal
the last observation, the authors’ findings are in general agreement with those of Scorer.-,/. H. Johnston.
where renal function is markedly impaired, a direct attack is made on the \:alves, thP bladder neck is resected as well. If bladder
SPOXTAKEOUS DESCENT OF THE TESTICLE. 1. J. Cow-Pal&. Lancet 1:1403, June 1966.
changes are permanent, cutaneous ileollreterostomy is a satisfactory means of urinary diversion.-W. H. Hen&en.
Of 4.580 boys examined by school doctors 134 (2.88 per cent) were considered to
COMPLETE BOY. J.
URETHRAL DUPLICATION IN A G. Olsen. J. Urol. 95:718-780.
May 1966. A case report of a 5 year old boy who had voided intermittently with 2 stream< since birth. There were 2 urethras. The dorsal urethra was totally excised, resulting in cosmetic a satisfactorv result without chordee or incontinence.-W. H. Hen&en. POSSIHLE I%II.SIS.I.EN~: 017 235~ WHOLE MESONEPHHIC: DUCT ASSOCIAIW) WITH OIXER C~NGEKI~.AL ABNORMALITIES. B. Declin and W. W. Wegins-Dacies. Brit. J. lirol. 38:208, April 1966. A case is described of an 11 years old boy with an nndescended right testis. At operation, besides a normal vas deferens. a duct extended from the epididymis to the loin. Investigations revealed congenital absense of the right kidney and llreter. The authors suggest that the duct represented a persistence of the upper part of the mesonephric dllct.--1. II. Jolmrtor~.
have unilateral or bilateral testicular undescent. The boys were re-examined by the author when the diagnosis was confirmed in 36 (0.78 per cent). The high retractile testis was classified as normal. When this figure (0.78 per cent) is compared with those relating to the incidence scended testis at 1 year of age (0.7 and in young adults (0.5 per cent), cluded that spontaneous testicular after infancy is very rare.-./. H. IDIOPAYHIC SCROTAL
EDEMA.
high and J. S. S. Stewart. S.3:419. May 1966.
of undeper cent) it is condescent Johnston.
D. M. EssenBrit.
J. Surg.
Among 7 cases of scrotal swelling admitted to hospital during 5 years there were 4 described as “idiopathic.” There is extension of the induration into the groin. Differential diagnosis from torsion or testis may need exploration.--R. B. Zachary. TRANSPOSITION OF PENIS AND SCROTUM. D. Remzi. J. Urol. 95:555-557. April 1966. A case report of an 11 year old boy whose penis was situated in the perineum, between Twelve similar cases anlls ant 1 scrotnm.