© 2003 Canadian Medical Association or its licensors A an uneventful pregnancy and delivery, a healthy male infant was born at 39 weeks’ gestation and circumcised by his family physician on the sixth day of life. In the subsequent 36 hours, the boy continued to wet diapers, but had progressive irritability and lethargy, and was brought back to the family physician for reassessment at the age of...

Objective The goal of hypospadias repair is to achieve normal voiding and good penile cosmesis with minimal complications. Some urethroplasties deteriorate from childhood to adolescence and late stage failures have been reported. We report our experience with adult patients who have had a previous repair during childhood and present with a late complication. Methods We reviewed the records of...

Introduction. Paraurethral cyst-like structures are quite common and affect from 1% to 6% of the female population between 20 and 60 years of age. Urethral diverticula account for approximately 80% of paraurethral cyst-like lesions. Paraurethral cysts are considerably less frequent. Because of their usually asymptomatic character, paraurethral cysts are rarely diagnosed and treated, and reports...

PURPOSE To present a novel modification of surgical technique to treat female urethral stricture (FUS) by a vaginal-sparing ventral buccal mucosal urethroplasty. Recurrent FUS represents an uncommon, though difficult clinical scenario to manage definitively. A variety of surgical techniques have been described to date, yet a lack of consensus on the optimal procedure persists. MATERIALS AND M...

Vesicoureteral reflux (VUR) affects ∼1% of children. We present an unusual case of urinary retention secondary to an obstructing urethral stone, underlying reflux, and its management. A 7-year-old boy presenting with acute urinary retention had a palpable penile shaft swelling and patent urethral meatus on examination. Cysto-urethroscopy with a 6.6Fr ureteroscope, due to unavailability of paedi...

An 85-year-old, nondiabetic man is described with necrotizing (malignant) otitis externa. The patient developed facial nerve paralysis in the presence of a progressive cellulitis and chondritis of the external auditory meatus. Destruction of the bony meatus and mastoid and obliteration of normal soft-tissue planes at the skull base were documented by computed tomographic scans. Aspergillus fumi...