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Biomedical subjects

Harish Chandran

Publications and source records attributed to Harish Chandran.

6 recordsLinked to original sources

Congenital ureteric strictures: an uncommon cause of antenatally detected hydronephrosis.

Often misdiagnosed as primary megaureter or pelviureteric junction obstruction, congenital ureteral stenosis and valves are the main causes of congenital ureteric obstruction. We report three consecutive cases of congenital ureteric strictures presenting with antenatally diagnosed hydronephrosis. Two of our cases had a contralateral multicystic dysplastic kidney. We discuss the aetiology, clinical presentation, diagnostic evaluation, surgical management, and operative results as well as present an overview of the international literature, highlighting the importance of early referral in cases of contralateral abnormality as well as the importance of performing a retrograde study to facilitate the diagnosis and choice of incision.

Constriction, Pathologic↗

Lymphangioma of the penis: a rare anomaly.

Lymphatic malformations are known to affect any part of the body. However, lymphangiomas involving the penile skin are rare. We report a case of a cutaneous lymphatic malformation of the penis.

Child↗

Malakoplakia of bladder in childhood.

Malakoplakia is a granulomatous inflammatory disease affecting the genitourinary tract. It is rare in childhood. We report a case of malakoplakia presenting as multiple bladder polyps in an 11-year-old boy. The child did not respond to long-term antibiotic treatment, and subsequent surgical excision of the polyps resolved his problems. We propose surgical excision as an alternative form of management of this rare lesion.

Child↗

Neonatal prostatic rhabdomyosarcoma.

Rhabdomyosarcoma is one of the commonest soft tissue sarcomas of childhood, but neonatal presentation is extremely rare. This limited experience means there are no clear treatment guidelines in this age group. The authors report a boy with recurrent attacks of hematuria commencing in the neonatal period, which were shown to be from a prostatic rhabdomyosarcoma. To the best of our knowledge this is the first reported case of neonatal rhabdomyosarcoma in this site.

Humans↗

Paediatric priapism--treatment conundrum.

Priapism is a rare condition in childhood. The majority of reported cases are boys with sickle cell disease, in whom nonoperative management may be successful when patients present early. We report a 14-year-old boy with sickle cell disease who presented with priapism of 72-h duration and was successfully treated by bilateral saphenocorporal shunts.

Adolescent↗

Use of Foley's catheter to gain access for retroperitoneoscopy.

With the increasing popularity of laparoscopic urologic surgery, many different methods have been used to dissect the extraperitoneal space and gain access to the kidney and ureter. We present our initial experience using a Foley catheter to gain retroperitoneal access. This technique was successfully used in 30 children. We have not encountered any major complications and recommend its use in children.

Catheterization↗