Tag Archives: urology

PUBLISHED: Cystoscopy and Placement of Ureteral Stents: Preoperative for HIPEC Surgery

Cystoscopy and Placement of Ureteral Stents: Preoperative for HIPEC Surgery
Francis McGovern, MD
Massachusetts General Hospital

This video provides a comprehensive overview of the prophylactic ureteral stenting and cystoscopy performed on a patient with advanced metastases of appendiceal cancer who is scheduled for cytoreduction and hyperthermic intraperitoneal chemotherapy. The video focuses on urethral instrumentation, identification of ureteral orifices, stent placement, and subsequent bladder inspection. The patient’s preoperative evaluation had revealed no evidence of ureteral involvement with the tumor.

The cystoscopic technique employed in this case allowed the surgeons to visualize the bulbar urethra, sphincter, and prostatic urethra, illustrating the step-by-step process of advancing into the bladder. Next, the vesical trigone is identified, aiding in the visualization of the ureteral orifices. The careful placement of stents into both ureters is demonstrated. No resistance was encountered in the process of stent placement, suggesting no involvement of the ureters with the tumor. A thorough bladder inspection revealed no unusual findings such as abnormal lesions, masses, or other pathology. The stents were secured with silk sutures to prevent inadvertent dislodgement.

PUBLISHED: Prophylactic Laparoscopic Bilateral Gonadectomy for Complete Androgen Insensitivity Syndrome

Prophylactic Laparoscopic Bilateral Gonadectomy for Complete Androgen Insensitivity Syndrome

J. Corbin Norton
Department of Urology, University of Arkansas for Medical Sciences

Amrit Singh, MD
Department of Pathology, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital

Laura L. Hollenbach, MD
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences

Georgia Gamble, MD
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences

Laura A. Gonzalez-Krellwitz, MD
Department of Pathology, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital

Stephen J. Canon, MD
Department of Pediatric Urology, Arkansas Children’s Hospital

The patient in this case is a 15-year-old female who presented with primary amenorrhea and who on work-up was found to have complete androgen insensitivity syndrome. Here, Dr. Canon at the University of Arkansas for Medical Sciences performs a prophylactic laparoscopic bilateral gonadectomy to reduce her future risk for intra-abdominal testicular malignancies. Final pathology results showed a rare case of bilateral germ cell neoplasia in situ and bilateral paratesticular leiomyomas and reinforced the decision to intervene early allowing for the removal of the gonads prior to their conversion to formal germ cell tumors.

PREPRINT RELEASE: Ureteroscopy, Laser Lithotripsy, and Stent Replacement for an Obstructing Left Proximal Ureteral Stone with Forniceal Rupture

Ureteroscopy, Laser Lithotripsy, and Stent Replacement for an Obstructing Left Proximal Ureteral Stone with Forniceal Rupture

Ryan A. Hankins, MD
Assistant Professor of Urology
Specialty Director of Urology
MedStar Georgetown University Hospital

The patient in this case is a 76-year-old male who was admitted to the ER two weeks prior and was found to have an obstructing, 1-cm left proximal ureteral stone with a forniceal rupture. A left ureteral stent was placed, and he was started on antibiotics. In this video, Dr. Ryan Hankins at MedStar Georgetown University Hospital performs definitive management of the stone with a left ureteroscopy, laser lithotripsy, and stent replacement.

PREPRINT RELEASE: Prophylactic Laparoscopic Bilateral Gonadectomy for Complete Androgen Insensitivity Syndrome

Prophylactic Laparoscopic Bilateral Gonadectomy for Complete Androgen Insensitivity Syndrome
University of Arkansas for Medical Sciences

J. Corbin Norton, MD
Department of Urology
University of Arkansas for Medical Sciences

Stephen J. Canon, MD
Department of Pediatric Urology
Arkansas Children’s Hospital

Amrit Singh, MD
Department of Pathology
University of Arkansas for Medical Sciences / Arkansas Children’s Hospital

Laura L. Hollenbach, MD
Department of Obstetrics and Gynecology
University of Arkansas for Medical Sciences

Georgia Gamble, MD
Department of Obstetrics and Gynecology
University of Arkansas for Medical Sciences

Laura A. Gonzalez-Krellwitz, MD
Department of Pathology
University of Arkansas for Medical Sciences / Arkansas Children’s Hospital

The patient, in this case, is a 15-year-old female who presented with primary amenorrhea and who on work-up was found to have complete androgen insensitivity syndrome. Here, Dr. Canon at the University of Arkansas for Medical Sciences performs a prophylactic laparoscopic bilateral gonadectomy to reduce her future risk for intra-abdominal testicular malignancies. Final pathology results showed a rare case of bilateral germ cell neoplasia in situ and bilateral paratesticular leiomyomas and reinforced the decision to intervene early allowing for the removal of the gonads prior to their conversion to formal germ cell tumors.

PREPRINT RELEASE: Pediatric Chordee Release and Glanular Hypospadias Repair


Pediatric Chordee Release and Glanular Hypospadias Repair
Romblon Provincial Hospital

Domingo Alvear, MD
Founder, World Surgical Foundation

Lissa Henson, MD
Philippine Society of Pediatric Surgeons

Jaymie Ang Henry, MD, MPH
Florida Atlantic University, G4 Alliance

In this case, Dr. Alvear with the World Surgical Foundation performs a chordee release and a glanular hypospadias repair on a 13-year-old male while on a surgical mission in the Philippines.

PREPRINT RELEASE: Right Open Indirect Inguinal Hernia Repair and Radical Inguinal Orchiectomy


Right Open Indirect Inguinal Hernia Repair and Radical Inguinal Orchiectomy
Romblon Provincial Hospital

Eric de Leon, MD
Perpetual Help Hospital

Dinesh Ranjan, MD
Roseburg, VA Health Care System

Jaymie Ang Henry, MD, MPH
Florida Atlantic University, G4 Alliance

This case involves a 78-year-old male with a history of an undescended testicle and bulging in the right inguinal area. The patient underwent an open repair of his indirect inguinal hernia that also included a radical inguinal orchiectomy. Drs. Eric de Leon and Dinesh Ranjan performed this operation with the World Surgical Foundation during a surgical mission to the Philippines.

PREPRINT RELEASE: Orchiopexy and Circumcision


Orchiopexy and Circumcision
Romblon Provincial Hospital

Domingo Alvear, MD
Founder, World Surgical Foundation

Lissa Henson, MD
Philippine Society of Pediatric Surgeons

Jaymie Ang Henry, MD, MPH
Florida Atlantic University, G4 Alliance

We’re back with another case with Dr. Alvear and the World Surgical Foundation! Here, he performs an orchiopexy and circumcision on a young male patient who presented with an undescended testicle and phimosis.

PREPRINT RELEASE: Bilateral Simple Hydrocelectomy and Removal of Subdermal Implants


Bilateral Simple Hydrocelectomy and Removal of Subdermal Implants
Romblon Provincial Hospital

Domingo Alvear, MD
Founder, World Surgical Foundation

Lissa Henson, MD
Philippine Society of Pediatric Surgeons

Jaymie Ang Henry, MD, MPH
Florida Atlantic University, G4 Alliance

In this case, Dr. Alvear perform a bilateral simple hydrocelectomy and removal of subdermal implants while on a surgical mission in the Philippines. The diagnosis of hydrocele had been confirmed via ultrasound following transillumination during the physical exam.