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Laparoscopy

June 19, 2017 by Bert Vorstman MD

Laparoscopic surgery utilizes fiberoptic light and telescopes entered into the body through puncture incisions for surgical procedures. Although these puncture wounds are small incisions, they are multiple. In addition, although the postoperative period may be shortened, surgical time for a number of these procedures may be substantially longer. Currently, there may be a place in […]

Spina Bifida – Neurogenic Bladder

June 15, 2017 by Bert Vorstman MD

Damage to the main, spinal cord and/or the sacral nerves may lead to neurologically impaired bladder, genital and bowel function. This may be congenital in origin such as in spina bifida, sacral agenesis and cerebral palsy or acquired such as in trauma. near drowning, viral or bacterial infections of the brain and/or spinal cord tumors […]

Screening For Urologic Malignancies In Children

June 15, 2017 by Bert Vorstman MD

INDIVIDUALS AT HIGH RISK FOR WILMS TUMOR Although Wilms tumor occurs sporadically in children, 8% of Wilms tumors will develop in individuals who have a recognizable pattern of malformation. High-risk Wilms tumor phenotypes can generally be grouped as “overgrowth” syndromes or “non-overgrowth” syndromes. 1. Overgrowth Syndrome The most common disorders in the overgrowth category are […]

Genitourinary Tumors & the Retroperitoneum

June 15, 2017 by Bert Vorstman MD

The pediatric urologist deals with a variety of benign and malignant genitourinary tumors which can be grouped in the following manner: Tumors of the upper urinary track. Tumors of the adrenal gland and retroperitoneum. Tumors of the lower urinary track. PRESENTATION Most children with genitourinary tumors will present with specific symptoms such as voiding problems […]

Malignant Tumors of Female Internal Genitalia & Ovaries

June 15, 2017 by Bert Vorstman MD

Clear cell adenocarcinoma of the vagina and cervix is rare. The increase and occurrence of this tumor has been linked with the maternal use of Diethylstilbestrol (DES) during pregnancy. Treatment consists of radical surgery with vaginectomy, radical hysterectomy and lymphadenectomy. Squamous cell carcinoma of the cervix may become more common in younger women as the […]

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