WebLog Journal of Urology

Lynch syndrome (LS), caused by germline mismatch-repair mutations, increases the risk of upper tract urothelial carcinoma (UTUC), for which radical nephroureterectomy is the standard treatment. Non-surgical curative management has not been described previously. We report a 48-year-old man with MSH2-associated LS who presented with a 3.5 cm distal ureteric high-grade UTUC. To preserve renal function, multidisciplinary consensus favoured systemic therapy over surgery. He received…

Two cases had blunt scrotal trauma that led to large hematocele and Ultrasound confirmed that tunica vaginalis was intact. Both patients were offered conservative treatment, which included bed rest, anti-inflammatory medications, and antibiotics. One patient reported significant comorbidities and had surgery at a private hospital and the other one tolerated conservative treatment but experienced a significant disability and was away from work for six weeks. We suggest that patients be…

Bilateral femoral ectopic testes are exceptionally rare congenital anomalies in which the testes deviate from the normal path of descent and lodge within the femoral canal. Fewer than a handful of bilateral cases have been described in the literature. We report a child presenting with bilateral groin swellings initially suspected to be inguinal hernias. Clinical examination and ultrasonography confirmed bilateral femoral ectopic testes. Surgical exploration with orchidopexy resulted in…

Objectives: To investigate the observation that children with primary epispadias frequently exhibit stenotic ureteric orifices, in contrast to patients with classic bladder exstrophy.

Design: Retrospective observational study.

Setting: Single tertiary paediatric urology centre.

Participants: Children with incontinent primary epispadias who underwent bladder reconstruction between January…