Joseph Lister was the pioneer of antiseptic surgery (Fig. 1). In the late 19th century, postoperative sepsis accounted for the death of almost half of the patients undergoing major surgery. Building on the work of Pasteur, Lister promoted the use of carbolic acid when operating. Antiseptic surgery became the norm and earned him the title ‘Father of Modern Surgery’. Just as antiseptic surgery re...

Background: The purpose of this study is to evaluate the aetiology of posterior urethral stricture in children and analysis of results after delayed primary repair with extensive distal urethral mobilisation. Materials and Methods This was a retrospective study carried out in a tertiary care centre from January 2009 to December 2013. Results: Eight children with median age 7.5 years (range ...

Approximately 35% of children with urinary infection have vesico-ureteric reflux (McGovern, Marshall, and Paquin, 1960; Ericsson, 1960). It is not known whether infection causes the reflux by damaging the uretero-vesical valvular mechanism, or whether a congenital abnormality permits reflux which predisposes to infection. Yet whatever the aetiology, it seems logical to assume that when infectio...

OBJECTIVE To assess treatment strategies for seven different scenarios for treating complex pelvic fracture urethral injury (PFUI), categorised as repeat surgery for PFUI, ischaemic bulbar urethral necrosis (BUN), repair in boys and girls aged ⩽12 years, in patients with a recto-urethral fistula, or bladder neck incontinence, or with a double block at the bulbomembranous urethra and bladder nec...

The most common cause of lower urinary tract obstruction in male infants is posterior urethral valves. Although the incidence has remained stable, the neonatal mortality for this disorder has improved due to early diagnosis and intensive neonatal care, thanks in part to the widespread use of prenatal ultrasound evaluations. In fact, the most common reason for the diagnosis of posterior urethral...

OBJECTIVE Prenatal diagnosis of urinomas has long been established with underlying obstructive uropathy generally responsible for urinary extravasation. Because urinoma formation represents a pop-off mechanism in cases of posterior urethral valves, the number of affected males greatly exceeds the number of females. Fetal urinoma has rarely been reported without obstruction and in females it has...

Congenital abnormalities of the anus are easily detected. Nevertheless the diagnosis is sometimes missed, with serious consequences for the child. Between 1970 and the end of 1977, 11 children with minor congenital anal abnormalities, in whom the diagnosis was initially missed, were seen on one surgical firm at this hospital (Table 1). After diagnosis and initial treatment intravenous urography...

The male urethral fistula is the common and difficult complication of the surgical treatments of urethral stricture, hypospadias and prostate disease. Surgical reconstruction remains the mainstay in the management. Sometime the surgical therapy of the male urethral fistula is still a challenge. The key point of the treatment of anterior urethral fistula is using Dartos Fascia flap to overlappin...

The male urethral fistula is the common and difficult complication of the surgical treatments of urethral stricture, hypospadias and prostate disease. Surgical reconstruction remains the mainstay in the management. Sometime the surgical therapy of the male urethral fistula is still a challenge. The key point of the treatment of anterior urethral fistula is using Dartos Fascia flap to overlappin...

To determine the value of CT in the diagnosis of bladder and posterior urethral injuries, we retrospectively evaluated the CT and urethrocystographic findings in 33 trauma patients with suspected injuries of the lower urinary tract who had both studies in their initial evaluation. In 26 (79%) of 33 patients, results of both examinations were normal. Seven (21%) of 33 patients had bladder injuri...