Pediatric Urology Case Reports

28-46

Authors: Giorgina B Piccoli, Mona Alrukhaimi, Zhi-Hong Liu, Elena Zakharova, Adeera Levin

Chronic Kidney Disease affects approximately 10% of the world’s adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women’s Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women’s health and specifically their kidney health, on the community, and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly. Girls and women, who make up approximately 50% of the world’s population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state where acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. There are various autoimmune and other conditions that are more likely to impact women with profound consequences for child bearing, and on the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants. In this editorial, we focus on what we do and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide.

52-54

Authors: Apoorva Kulkarni, Vishesh Dikshit, Abhay Gupta, Geeta Kekre, Paras Kothari

A 4-year-old girl was admitted with the complaint of pain in lower abdomen and dysuria. She had exstrophy repair at 6th month of life. Radiographic investigations revealed a large bladder calculus. An innovative treatment in the form of laser lithotripsy was carried out to prevent damaging an already highly compromised urinary bladder with an open surgery.

59-63

Authors: Angeline Rojas Díaz, Juan David Iregui Parra, Lina Huérfano, Ana Ortiz Zableh, Jaime Pérez Niño

Testicular tumors of the adrenogenital syndrome (TTAGS) are a rare disease, with a benign curse. We present the case of a 12-year-old patient with congenital adrenal hyperplasia (CAH), precocious puberty and bilateral testicular masses. Hormonal control had been adequate. Incidental finding of bilateral testicular masses, with negative testicular tumoral biomarkers. The patient underwent right testicular sparing surgery, finding an intraparenchymal nodular mass. Pathological study showed a TTAGS, positive for CD99, Melan A, inhibin and synaptophysin markers. Conservative management was decided.