Apoorva Kulkarni

Undetected duplex moiety with ureteropelvic junction obstruction: A case report

Although ureteropelvic junction obstruction and duplex kidney are common anomalies in child age group, the combination of these two anomalies is a rare association and infrequently reported. A 2 month old male patient antenatally diagnosed as having hydronephrosis of right kidney, was brought to us for follow up. Renal scans and ultrasonography suggested ureteropelvic junction obstruction. It was only intra-operatively, at the time of pyeloplasty that we found he had duplex system of the same side, not picked up in any of the earlier investigations. Pyeloplasty was done over a double J stent. Patient was discharged and called for follow up.

Use of fibrin sealant and tunica vaginalis flap in the repair of urethro-cutaneous fistulas: experience in a tertiary care centre

Urethro-cutaneous (UC) fistula is one of the most common and also the most frustrating complication after hypospadias surgery. The fact that it occurs and recurs has potential physical and psychological consequences to the patient and his family. The general reported rate of UC fistulas is around 0-30% depending on severity of hypospadias, surgical technique and experience of operating surgeon. Attempting to close the fistula without understanding the failure mechanisms can be dangerous. Factors influencing fistula repair are number, size and location of fistulas, condition of local tissue and time after hypospadias repair. Different techniques of hypospadias have different rates of fistula formation. The most commonly used techniques of hypospadias repair in our institute are Snodgrass tubularised incised urethroplasty (TIP) repair, Byar’s staged repair and the island onlay repair.

A case report of axillary lipoblastoma

We present a 14-month-old male with a large left axillary lipoblastoma and its management. Treatment of choice was complete excision. Incomplete excision leads to recurrence. Follow-up of at least five years was suggested.