Initially, laparoscopy had limited diagnostic and therapeutic uses. With the advent of automatic clip appliers, stapling devices, impermeable organ removal bags and morcellating devices, the scope of procedures that can be performed laparoscopically has been broadened substantially. Such advances have allowed for laparoscopic varicocelectomies, bladder augmentations, urinary diversions, ureterolysis, adrenalectomies, nephrectomies and nephro-ureterectomies. We now have performed over 50 laparoscopic nephrectomies on children at our center. Our director, Dr.
As the defect increases in severity, the opening to the penis will be found further back on the penis. The most severe types can have openings at the region of the scrotum and even in the perineum (the region between the anus and scrotum).
Hypospadias can be associated with another defect called chordee. Chordee is a downward curvature of the penis. Both hypospadias and chordee must be repaired so that a child can have normal urinary and reproductive health.
CAH refers to a group of disorders that manifests with varying degrees of physical stigmata including virilization of female patients. In other words, females born with this disease exhibit varying degrees of masculinzation of their genitalia. The degree of stigmata differs according to the underlying enzyme deficit altering cortisol formation in the adrenal gland. The most commonly encountered defect is of the 21-hydroxylase enzyme.
When we see a child with an undescended testicle, the ultimate diagnosis can be classified according to several different categories:
This is the most common factor resulting in the inaccurate diagnosis of an undescended testicle.
As hydronephrosis is detected in as many as 42,000 fetuses (1.4%), obstetricians and pediatric urologists alike commonly encounter the diagnosis of prenatal hydronephrosis.
As part of the Department of Urology, New York-Presbyterian Hospital/Weill Cornell Medical Center and Komansky Children’s Hospital, the Institute for Pediatric Urology provides management of all pediatric urologic issues in both male and female patients.
Our goal is to offer a caring environment for our patients and their families, where we can work together to develop the most effective and least invasive treatment to improve a child's health.
Dix P. Poppas, M.D., F.A.C.S., F.A.A.P. is Chief of Pediatric Urology at the Phyllis & David Komansky Children's Hospital of NewYork-Presbyterian Hospital - Weill Cornell Medical Center. He is the Richard Rodgers Professor of Pediatric Urology in the James Buchanan Brady Department of Urology at Weill Cornell Medicine. Dr. Poppas has been a tenured professor with Weill Cornell Medicine as of April 2006 and holds joint appointments as Professor of Pediatrics and Professor of Plastic and Reconstructive Surgery as well.
Amazing Patient Stories : Preethi Davis was born in India with a rare and complex congenital abnormality in which her reproductive, urological, and gastrointestinal systems were combined into a single opening. She underwent multiple surgeries and treatments in India, and while her doctors did the best they could, they were unsuccessful. Ultimately, Preethi’s parents were unable to care for her, and placed her in an orphanage for children with no hope.