ANAHEIM, CA (UroToday.com) - Abstract 357 compared the tubuarized incised plate and only hypospadias repairs. It showed that outcomes were the same. The TIP had a higher fistula rate and a more flattened uroflow. We need longer follow-up.

Abstract 358 showed that boys with hypospadias have a reduced anogenital distance compared to boys without hypospadias suggesting an endocrine disrupter. Abstract 359 demonstrated for the first time an association with myosin related genes with hypospadias. Abstract 360 showed that a staged hypospadias repair was helpful in the more proximal hypospadias defect. Abstract 361 discussed the lack of resident interest in hypospadias surgery.

Abstract 362 showed that testicular descent is asymmetric – 5.8% of cases. Abstract 363 concluded that all testies descend in the fetus that weighs more than 1500 gm. Abstract 364 showed the use of Gortex to help passively bring testis down. Abstract 365 showed that laparoscopic orchiopexy is technically feasible approach for the intrabadominal testis. In abstract 366 the group identified that a significant problem is happening. Stones need to be cut without you I’m the mix. Abstract 367 showed that among boys living in a temperate climate, decreasing atmospheric temperature and humidity is associated with an increased incidence of testicular torsion. Abstract 368 concluded that catch up growth after a Palomo varicocele repair is true growth and not due to lymphatic obstruction. Abstract 369 found no statistically significant difference in catch up growth of the testis according to the age or Tanner stage after varicocelectomy.

Abstract 370 from Toronto Sick Kids reviewed their experience with epispadias in boys. They found that urinary continence can be achieved in at least 86% of the boys with either the Cantwell Ransley (CR) or Mitchell Bagli (MB) technique. They found that after the CR and MB repairs, 71% and 26% needed bladder neck reconstruction, respectively. Abstract 371 showed that one can leave both ends of the hemiglans connected for epispadias repair with good cosmetic results and less chance of loss of blood supply or shortening of the penis. Abstract 372 concluded that even in this modern era, children born with bladder exstrophy still suffer significantly from urinary incontinence. Abstract 373 showed that absolute contractile function is reduced in tissue samples from patients with cloacal exstrophy. Abstract 374 found that primary bladder exstrophy closure is associated with lower surgical hospitalization costs compared with delayed primary closure. It seems that successful newborn closure resounds as being paramount in the care of these children.

Abstract 375 concluded that a significant increase in bladder capacity and compliance is achieved and maintained in nonsecretory enterocystoplasty long term. The group found improvement in upper tract dilation in all cases. The last abstract of the day number 376 followed long term the outcome of the MACE channel in a large cohort of patients numbering 236. The results are encouraging. 16% will require revisions with the appendicocecostomy requiring the least amount of revisions compared to Yang-Montie ileocecostomy, colon flaps, and appendicocecostomy with cecal extensions.

UroToday.com Full Conference Reports

Written by Pasquale Casale, MD, a Contributing Editor with UroToday.

Please log-in or register in order to submit comments.

Powered by AkoComment!