The penis is an important organ in fertility, urinary and psychosexual structure of males. Complete penile agenesis is a rare congenital genitourinary anomaly and is usually associated with other malformations such as gastrointestinal, cardiac, and musculoskeletal lesions. Although many uncommon types have been reported, penile agenesis associated with vesicoureteral reflux has not been reported in an infant with vesicorectal fistula. This is the first report of an infant with the combination of penile agenesis, vesicoureteral reflux, and vesicorectal fistula. A three-year-old infant with penile agenesis proven to have bilateral vesicoureteral reflux and vesicorectal fistula is reported.

No AccessJournal of Urology1 Jun 1987Changing Approaches to the Staged Reconstruction of Newborn Bladder Exstrophy J. Patrick Murphy, and John Duckett J. Patrick MurphyJ. Patrick Murphy More articles by this author , and John DuckettJohn Duckett More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)75153-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Changing Approaches to the Staged Reconstruction of Newborn Bladder Exstrophy." The Journal of Urology, 137(6), p. 104A © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 137Issue 6June 1987Page: 104A Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information J. Patrick Murphy More articles by this author John Duckett More articles by this author Expand All Advertisement Loading ...

The technique of anterior fundoplication for gastroesophageal reflux originally described by Alan Thal has been used in our institution in 605 patients. The description of the technique is the purpose of this paper. A brief description of the results in these 605 patients are also presented.

Airway splints are now used clinically to treat tracheomalacia and may also have a place in the management of tracheal stenosis. These studies in 5 to 7 Kg piglets were designed to assess the effects of prosthetic airway splints on airway growth and to establish their usefulness in the reconstruction of tracheal defects. Three experimental groups were studied: group I (n = 8). Silastic reinforced Marlex mesh or Vicryl mesh prostheses were placed around 75% of the circumference of a 3 cm segment of trachea. Pigs were sacrificed at 4 months (average weight = 78.9 +/- 9.0 Kg) and the cross-sectional area of trachea was measured. Group II (n = 5). The same prostheses were used to replace the tracheal defect created by excising three rings (50% of tracheal circumference). Tracheas were examined grossly and histologically at sacrifice. Group III (n = 5). Same as Group II except tracheal defect covered by strap muscles. Prostheses placed external to them to prevent airway collapse. Group I had 4% to 14% (mean 8%) decrease from normal cross-sectional area of trachea at site of splint. No airway obstruction and no infection was encountered. Group II, severe airway obstruction, granulation tissue, and infection at site of defect was noted. Group III showed no signs of airway obstruction, no infection, and minimal airway narrowing. Re-epithelialization of the muscle surface in contact with airway occurred in all these animals. Silastic reinforced Marlex or Vicryl splints placed around the intact rapidly growing trachea do not significantly limit its growth. In addition, these synthetic materials appear to be well-tolerated when used to reconstruct tracheal defects if placed over well-vascularized tissue such as muscle.