The Section on Urology of the American Academy of Pediatrics met in association with the 50th annual meeting of the Academy in New Orleans. Several topics of interest to both pediatricians and pediatric urologists were discussed. Inasmuch as members are unable to attend subspecialty sessions when they occur simultaneously with other scheduled programs, this summary is prepared to offer an overview of the content of the meeting of our Section. Readers interested in a specific topic should feel free to contact the senior author of papers of special interest to them.
The meeting was organized into topic-oriented sessions including hypospadias, reconstructive surgery, anomalies of the testis and scrotum, myelodysoplasia, principles of urinary undiversion, ureteral obstruction and techniques to assess the severity of obstruction, urinary incontinence, and vesicouretenal reflux. Miscellaneous papers of interest to both pediatricians and pediatric urologists were also discussed. This summary will focus on those papers of mutual interest to urologists and pediatricians.
HYPOSPADIAS
Several years ago, the Sections on Urology and Child Development issued a position paper on timing for elective genital surgery in children.1 This paper suggested that, for psychological reasons, surgery at less than 1 year of age was preferable. However, for technical reasons, especially regarding hypospadias repairs, surgery was often best delayed until 2 years of age.
More recently, Manley and Epstein2 reported a series of very young infants undergoing major hypospadias reconstructions (as young as age 6 months), with no apparent technical difficulty, no increase in complications, and lessened postoperative anxiety. Two papers at this meeting addressed this topic of current concern.