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The Prune Belly Syndrome

June 15, 2017 by Bert Vorstman MD

The classic prune belly syndrome is essentially a male condition which also goes by the title of Eagle Barrett Syndrome or the triad syndrome. The prune belly syndrome gets its name from the characteristic wrinkled appearance of the abdominal wall because of variable degrees of muscle hypoplasia. In addition, there are associated major urinary tract […]

Pediatric Hydronephrosis

June 15, 2017 by Bert Vorstman MD

Hydronephrosis means “swollen upper urinary tract.” It does not always equate with obstruction. Urinary tract obstruction cannot be precisely characterized physiologically. Clinically it may be defined as “any restriction to urinary outflow which, left untreated, will cause progressive kidney deterioration.” In some cases, hydronephrosis will reach a stage of equilibrium and not progress; and in […]

Hydroceles/Hernias

June 15, 2017 by Bert Vorstman MD

These intrascrotal masses are usually managed by the pediatric urologist. Hydroceles and hernias are both due to incomplete obliteration of the processus vaginalis. The testis enters the inguinal canal posterolateral to and following the protruded sac of the peritoneum, usually reaching the base of the scrotum at the seventh to ninth month of intrauterine life. […]

The Adolescent Varicocele

June 15, 2017 by Bert Vorstman MD

The varicocele is a painless dilatation of the veins of the pampinaform plexus and has a known association with male infertility. However, not every man with a varicocele is infertile. Some have estimated that, of men with a varicocele, only 13% have infertility. The incidence of varicocele in the adolescent male population is approximately 15% […]

Posthitis, Balanitis and Circumcision

June 15, 2017 by Bert Vorstman MD

Routine circumcision remains controversial. Although 80% of the world’s population does not practice circumcision, the operation is done either for “health reasons” or as a religious ritual by Moslem, Jews, most black Africans and others. According to some, one reason that circumcision is prevalent in the United States is that medical and popular literature abounds […]

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