As a urologist at Boston Children’s Hospital, I’m often found treating common abnormalities of the scrotum and testicles. These benign conditions can typically be fixed when kids are very young, so most patients go on to live their lives never having to see us again.
The right diagnosis is important to a child’s swift recovery. Learn about the diagnosis and treatment of the four most common testicular abnormalities seen in practice today.
A significant number of children with a tethered spinal cord have a cutaneous manifestation overlying the lower spine, yet the ability to diagnose it often depends on the knowledge and familiarity of this condition by the primary care provider. Since early identification and treatment may prevent further neurologic deterioration and improve outcome if neuro-urologic injury has already occurred, it is imperative to expedite the timing of diagnosis.
The aims of this study were two-fold: (1) to determine the frequency and (2) to increase awareness of spinal cord abnormalities in a cohort of patients with a variety of subtle cutaneous lower spinal lesions.
Boston Children’s Urologist-in-Chief and Associate Clinical Ethicist, David A. Diamond, MD, shares three complex cases of ambiguous genitalia in which optimal gender assignment was unclear. These case studies discuss patient history, the process of investigation, subsequent dialogue with each family and decisions made in each case.
Children with disorders of sexual differentiation can present complicated management problems. The most challenging aspect of these cases occurs when optimal gender assignment is unclear. For some conditions, outcomes with regard to gender assignment along a male or female pathway are well established. For other conditions the outcomes are far less clear. Over the past two years, we have encountered three complex cases of ambiguous genitalia in which optimal gender assignment was unclear and a complex process of investigation of these children and a lengthy dialogue with each family was undertaken. Subsequently, a pathway was elected for each case that represented a balance between parental preference and patient self-determination. …Read More