Robert D. Jeffs

Johns Hopkins Hospital

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John P. Gearhart

Johns Hopkins Medicine

John P. Gearhart

Johns Hopkins Hospital

Jacob Ben‐Chaim

Tel Aviv Sourasky Medical Center

Dennis S. Peppas

Norton Healthcare

Martin Barkin

University of Toronto

J.F. Schillinger

Children's Hospital of Eastern Ontario

Paul D. Sponseller

Johns Hopkins University

Linda A. Baker

The University of Texas Southwestern Medical Center

Ranjiv Mathews

Ashford and St Peter's Hospitals NHS Foundation Trust

Ronald Rabinowitz

University of Rochester Medical Center

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Johns Hopkins University

Johns Hopkins Hospital

Johns Hopkins Medicine

Hospital for Sick Children

University of Baltimore

University of Toronto

Boston Children's Hospital

SickKids Foundation

Harvard University

Emory University

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Ureteral Graft in Urological Reconstruction: Clinical Experience and Review of the Literature

The Journal of Urology (1995)

Steven G. Docimo John P. Gearhart Robert D. Jeffs

No AccessJournal of UrologyPediatric Urology1 May 1995Ureteral Graft in Urological Reconstruction: Clinical Experience and Review of the Literature Steven G. Docimo, John P. Gearhart, and Robert D. Jeffs Steven G. DocimoSteven G. Docimo More articles by this author , John P. GearhartJohn P. Gearhart More articles by this author , and Robert D. JeffsRobert D. Jeffs More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67493-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We report 7 cases in which grafts of ureter were used as tube and patch segments in urethral reconstruction and formation of a continent catheterizable stoma. The ureteral grafts survived without long-term stricture in all cases. Meticulous preparation of the graft and recipient bed is required for success, as previously demonstrated experimentally. When available, ureter is an excellent source of tissue for urological reconstruction. References 1 : Neurogenic bladder in children. Current status of our knowledge and treatment by transappendiceal continent cystostomy.. Bull. Soc. Sci. Med. Grand Duche Luxem.1987; 124: 219. Google Scholar 2 : Appendicovesicostomy: an alternative urinary diversion in the child.. Eur. Urol.1984; 10: 361. Google Scholar 3 : The island flap technique for hypospadias repair.. Urol. Clin. N. Amer.1981; 8: 503. Google Scholar 4 : One-stage urethroplasty.. Brit. J. Urol.1968; 40: 717. Google Scholar 5 : Tubed free skin graft for construction of male urethra.. J. Urol.1980; 123: 858. Abstract, Google Scholar 6 : Bladder mucosa graft for construction of male urethra.. J. Ped. Surg.1986; 21: 189. Google Scholar 7 : The use of split-skin mesh graft in the management of urethral strictures.. Brit. J. Urol.1986; 58: 174. Google Scholar 8 : Meshgraft urethroplasty: a case report.. Acta Urol. Jap.1987; 33: 1480. Google Scholar 9 : The buccal mucosal graft for urethral reconstruction: a preliminary report.. J. Urol.1992; 147: 662. Abstract, Google Scholar 10 : Autologous buccal mucosa graft for hypospadias repair: an initial report.. J. Urol.1992; 147: 1081. Abstract, Google Scholar 11 : Experimental studies of ureteral peristaltic patterns in the pig. II. Myogenic activity of the pig ureter.. J. Urol.1961; 86: 46. Abstract, Google Scholar 12 : Allogenic and autologous orthotopic canine ureteral grafts.. Invest. Urol.1966; 4: 12. Google Scholar 13 : Free full-thickness pelvic graft: experimental repair of ureter and ureteropelvic junction.. J. Urol.1971; 105: 59. Abstract, Google Scholar 14 : Heterotopic transplantation of ureter as a free graft.. Invest. Urol.1974; 12: 8. Google Scholar From the Division of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 153Issue 5May 1995Page: 1648-1650 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Steven G. Docimo More articles by this author John P. Gearhart More articles by this author Robert D. Jeffs More articles by this author Expand All Advertisement PDF downloadLoading ...

Stoma (medicine)

Urinary diversion

Suprapubic cystostomy

Cystostomy

10.1016/s0022-5347(01)67493-7

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Citations (3)

Vesicoureteral Reflux and Ureteropelvic Junction Obstruction: Late Occurrence of Ureteropelvic Obstruction After Successful Ureteroneocystostomy

The Journal of Urology (1979)

Daniel P. Deklerk William G. Reiner Robert D. Jeffs

No AccessJournal of Urology1 Jun 1979Vesicoureteral Reflux and Ureteropelvic Junction Obstruction: Late Occurrence of Ureteropelvic Obstruction After Successful Ureteroneocystostomy Daniel P. Deklerk, William G. Reiner, and Robert D. Jeffs Daniel P. DeklerkDaniel P. Deklerk More articles by this author , William G. ReinerWilliam G. Reiner More articles by this author , and Robert D. JeffsRobert D. Jeffs More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)57004-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Ureteropelvic junction obstruction occurred in 2 patients after successful correction of vesicoureteral reflux. The correction of vesicoureteral reflux does not always allow complete resolution of pelvioureteral tortuosity, kinking and periureteritis. In cases with a severe degree of these changes the possibility of ureteropelvic junction obstruction occurring either early or late after ureteroneocystostomy should be considered when unsatisfactory renal function is noted during followup. © 1979 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByBomalaski M, Hirschl R and Bloom D (2018) Vesicoureteral Reflux and Ureteropelvic Junction Obstruction: Association, Treatment Options and OutcomeJournal of Urology, VOL. 157, NO. 3, (969-974), Online publication date: 1-Mar-1997.Hollowell J, Altman H, Snyder H and Duckett J (2018) Coexisting Ureteropelvic Junction Obstruction and Vesicoureteral Reflux: Diagnostic and Therapeutic ImplicationsJournal of Urology, VOL. 142, NO. 2 Part 2, (490-493), Online publication date: 1-Aug-1989.Mesrobian H and Kelalis P (2018) Ureterocalicostomy: Indications and Results in 21 PatientsJournal of Urology, VOL. 142, NO. 5, (1285-1287), Online publication date: 1-Nov-1989.Maizels M, Smith C and Firlit C (2018) The Management of Children with Vesicoureteral Reflux and Ureteropelvic Junction ObstructionJournal of Urology, VOL. 131, NO. 4, (722-726), Online publication date: 1-Apr-1984. Volume 121Issue 6June 1979Page: 816-818 Advertisement Copyright & Permissions© 1979 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Daniel P. Deklerk More articles by this author William G. Reiner More articles by this author Robert D. Jeffs More articles by this author Expand All Advertisement PDF DownloadLoading ...

Ureteropelvic junction

10.1016/s0022-5347(17)57004-4

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Citations (8)

Metachronous bilateral wilms tumor Report of longest-known survivor and guidelines for conservative management

Urology (1987)

Joseph E. Oesterling Robert D. Jeffs

Conservative Management

10.1016/0090-4295(87)90297-4

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Citations (4)

The modified Cantwell-Ransley repair in exstrophy and epispadias Ten year experience

İlhami Sürer Linda A. Baker Robert D. Jeffs John P. Gearhart

Epispadias

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Citations (1)

Evolution of outcomes with the ileal hydraulic valve continent diversion: reevaluation of the Benchekroun catheterizable stoma

World Journal of Urology (1996)

Martin G. Sanda Robert D. Jeffs John P. Gearhart

Urinary diversion

Stoma (medicine)

10.1007/bf00182567

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Citations (9)

Pediatric testicular tumors the johns hopkins maryland usa experience

M.P. Leonard Robert D. Jeffs B Levinthal John P. Gearhart

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CAUSES OF THE FAILURE OF VACCINATION.

The Lancet (1839)

Robert D. Jeffs

10.1016/s0140-6736(01)19037-9

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Cryptorchidism: The Surgical Implications of Non-Union of the Epididymis and Testis

The Journal of Urology (1980)

Fray F. Marshall Robert M. Weissman Robert D. Jeffs

No AccessJournal of Urology1 Oct 1980Cryptorchidism: The Surgical Implications of Non-Union of the Epididymis and Testis Fray F. Marshall, Robert M. Weissman, and Robert D. Jeffs Fray F. MarshallFray F. Marshall More articles by this author , Robert M. WeissmanRobert M. Weissman More articles by this author , and Robert D. JeffsRobert D. Jeffs More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)55544-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A boy with a non-palpable undescended testis was found to have a 7.5cm. separation between the detached epididymis and testis. This anomaly of non-union of the epididymis and testis emphasizes the need for careful exploration of the non-palpable undescended testis. © 1980 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byTurek P, Ewalt D, Snyder H and Duckett J (2018) Normal Epididymal Anatomy in BoysJournal of Urology, VOL. 151, NO. 3, (726-727), Online publication date: 1-Mar-1994. Volume 124Issue 4October 1980Page: 560-561 Advertisement Copyright & Permissions© 1980 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Fray F. Marshall More articles by this author Robert M. Weissman More articles by this author Robert D. Jeffs More articles by this author Expand All Advertisement PDF downloadLoading ...

10.1016/s0022-5347(17)55544-5

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Citations (8)

Penile Length in Adulthood After Exstrophy Reconstruction

The Journal of Urology (1997)

Richard I. Silver Andrew Yang Jacob Ben‐Chaim Robert D. Jeffs John P. Gearhart

No AccessJournal of UrologyPediatric Urology: Editorial1 Mar 1997Penile Length in Adulthood After Exstrophy Reconstruction Richard I. Silver, Andrew Yang, Jacob Ben-Chaim, Robert D. Jeffs, and John P. Gearhart Richard I. SilverRichard I. Silver , Andrew YangAndrew Yang , Jacob Ben-ChaimJacob Ben-Chaim , Robert D. JeffsRobert D. Jeffs , and John P. GearhartJohn P. Gearhart View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65131-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We attempted to determine whether the penis in adulthood after exstrophy reconstruction is short because of a congenital defect in the size of the corpora cavernosa. Materials and Methods: Pelvic magnetic resonance imaging was performed on 10 men who underwent exstrophy reconstruction in childhood, and 10 age and race matched controls. Measurements of penile and pelvic anatomy were compared. Results: The corpora cavernosa in men after exstrophy reconstruction were shorter than normal. Dividing total corporeal length into an anterior and posterior segment revealed that the anterior segment was short but the posterior segment attached to the pubic ramus was normal. However, the diameter of the posterior corporeal segment was greater than in controls. Although diastasis of the symphysis pubis increased the intersymphyseal and intercorporeal distances, the angle between the corpora cavernosa was unchanged, presumably because the corporeal bodies were separated in a parallel fashion. Conclusions: After exstrophy reconstruction the penis is short in adulthood, at least partially due to a congenital deficiency of corporeal tissue. Since diastasis of the pubic symphysis and chordee decrease penile visibility, approximation of the pubic symphysis and procedures to straighten the penis may improve cosmesis. However, because the corpora cavernosa are short, after exstrophy reconstruction the penis will always be shorter than normal in adulthood. References 1 : The genital aspects of exstrophy. J. Urol.1975; 113: 701. Link, Google Scholar 2 : Bladder exstrophy: penile lengthening procedure. Urology1984; 24: 434. Google Scholar 3 : Anatomy of the penis and its deformities in exstrophy and epispadias. J. Urol.1984; 132: 1122. Link, Google Scholar 4 : The anatomical course of the neurovascular bundles in epispadias. J. Urol.1986; 136: 68. Link, Google Scholar 5 : The anatomy of the pelvis in the exstrophy complex. J. Bone Joint Surg.1995; 77: 177. Google Scholar 6 : A method of lengthening and repairing the penis in exstrophy of the bladder. J. Urol.1958; 79: 237. Link, Google Scholar 7 : Penile lengthening after previous repair of epispadias. J. Urol.1979; 121: 527. Link, Google Scholar 8 : Male epispadias: surgical repairs of urethropenile deformity. Brit. J. Urol.1976; 48: 127. Google Scholar 9 : Lengthening of the congenital or acquired short penis. Brit. J. Urol.1974; 46: 685. Google Scholar 10 : Reconstruction of the external genitalia in exstrophy of the bladder: preliminary communication. J. Urol.1974; 111: 830. Link, Google Scholar 11 : Repair of secondary genital deformities of epispadias/exstrophy. Clin. Plast. Surg.1988; 15: 381. Google Scholar 12 : Reconstruction of the epispadiac penis in adolescents. Prog. Ped. Surg.1989; 23: 165. Google Scholar 13 : The treatment of penile chordee using corporeal rotation. J. Urol.1984; 131: 931. Link, Google Scholar 14 : The exstrophic anomalies and their surgical reconstruction. Curr. Prob. Surg.August 1974; : 1. Google Scholar 15 : Epispadias and exstrophy. Proc. Roy. Soc. Med.1969; 62: 1079. Google Scholar 16 : The surgical treatment of epispadias. Surg., Gynec. & Obst.1963; 117: 465. Google Scholar 17 : A procedure for lengthening the phallus in boys with exstrophy of the bladder. J. Ped. Surg.1971; 6: 645. Google Scholar 18 : Urethral reconstruction in boys with classical bladder exstrophy. J. Urol.1984; 131: 512. Link, Google Scholar 19 : Use of paraexstrophy skin pedicle grafts for correction of exstrophy and epispadias repair. Birth Defects1977; 13: 175. Google Scholar 20 : Anterior pelvic osteotomy of superior pubic ramus to facilitate bladder exstrophy repair. Dial. Ped. Urol.1993; 16: 3. Google Scholar 21 : The Cantwell-Ransley technique for repair of epispadias. J. Urol.1992; 148: 851. Link, Google Scholar 22 : Penile deformity in bladder exstrophy: correlation with closure of pelvic defect. J. Ped. Surg.1991; 26: 201. Google Scholar 23 : A combined vertical and horizontal pelvic osteotomy approach for initial and secondary repair of bladder exstrophy. J. Urol.1996; 155: 689. Abstract, Google Scholar 24 : Questions that worry children with exstrophy. Pediatrics1974; 53: 242. Google Scholar 25 : Long-term followup of cosmetic appearance and genital function in boys with exstrophy: review of 53 patients. J. Urol.1986; 136: 256. Link, Google Scholar 26 : The patient with exstrophy in adult life. Brit. J. Urol.1983; 55: 632. Google Scholar 27 : Genital function in males with vesical exstrophy and epispadias. Brit. J. Urol.1972; 44: 169. Google Scholar 28 : The sexual and reproductive consequences of congenital genitourinary anomalies. J. Urol., part 21994; 152: 645. Abstract, Google Scholar 29 : Long-term followup after exstrophy closure: late improvement and good quality of life. J. Urol.1978; 119: 664. Link, Google Scholar Division of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute and Russell H. Morgan Department of Radiology, Johns Hopkins Hospital, Baltimore, Maryland© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byHarris T, Manyevitch R, Wu W, Leto Barone A, Bivalacqua T, Burnett A, Gearhart J and Redett R (2020) Pedicled Anterolateral Thigh and Radial Forearm Free Flap Phalloplasty for Penile Reconstruction in Patients With Bladder ExstrophyJournal of Urology, VOL. 205, NO. 3, (880-887), Online publication date: 1-Mar-2021.Benz K, Dunn E, Solaiyappan M, Maruf M, Kasprenski M, Jayman J, Michaud J, Facciola J, DiCarlo H and Gearhart J (2018) Novel Observations of Female Genital Anatomy in Classic Bladder Exstrophy Using 3-Dimensional Magnetic Resonance Imaging ReconstructionJournal of Urology, VOL. 200, NO. 4, (882-889), Online publication date: 1-Oct-2018.Perovic S and Djinovic R (2007) New Insight Into Surgical Anatomy of Epispadiac Penis and its Impact on RepairJournal of Urology, VOL. 179, NO. 2, (689-696), Online publication date: 1-Feb-2008.VanderBrink B, Stock J and Hanna M (2007) Esthetic Outcomes of Genitoplasty in Males Born With Bladder Exstrophy and EpispadiasJournal of Urology, VOL. 178, NO. 4S, (1606-1610), Online publication date: 1-Oct-2007.GEARHART J and BAIRD A (2018) THE FAILED COMPLETE REPAIR OF BLADDER EXSTROPHY: INSIGHTS AND OUTCOMESJournal of Urology, VOL. 174, NO. 4 Part 2, (1669-1673), Online publication date: 1-Oct-2005.HUSMANN D and GEARHART J (2018) LOSS OF THE PENILE GLANS AND/OR CORPORA FOLLOWING PRIMARY REPAIR OF BLADDER EXSTROPHY USING THE COMPLETE PENILE DISASSEMBLY TECHNIQUEJournal of Urology, VOL. 172, NO. 4 Part 2, (1696-1701), Online publication date: 1-Oct-2004.HALACHMI S, FARHAT W, KONEN O, KHAN A, HODAPP J, BAGLI D, McLORIE G and KHOURY A (2018) Pelvic Floor Magnetic Resonance Imaging after Neonatal Single Stage Reconstruction in Male Patients With Classic Bladder ExstrophyJournal of Urology, VOL. 170, NO. 4 Part 2, (1505-1509), Online publication date: 1-Oct-2003.STEC A, PANNU H, TADROS Y, SPONSELLER P, FISHMAN E and GEARHART J (2018) PELVIC FLOOR ANATOMY IN CLASSIC BLADDER EXSTROPHY USING 3-DIMENSIONAL COMPUTERIZED TOMOGRAPHY: INITIAL INSIGHTSJournal of Urology, VOL. 166, NO. 4, (1444-1449), Online publication date: 1-Oct-2001.DE FONTAINE S, LORÉA P, WESPES E, SCHULMAN C and GOLDSCHMIDT D (2018) COMPLETE PHALLOPLASTY USING THE FREE RADIAL FOREARM FLAP FOR CORRECTING MICROPENIS ASSOCIATED WITH VESICAL EXSTROPHYJournal of Urology, VOL. 166, NO. 2, (597-599), Online publication date: 1-Aug-2001.WOODHOUSE C (2018) PROSPECTS FOR FERTILITY IN PATIENTS BORN WITH GENITOURINARY ANOMALIESJournal of Urology, VOL. 165, NO. 6 Part 2, (2354-2360), Online publication date: 1-Jun-2001.HAFEZ A, ELSHERBINY M and GHONEIM M (2018) COMPLETE REPAIR OF BLADDER EXSTROPHY: PRELIMINARY EXPERIENCE WITH NEONATES AND CHILDREN WITH FAILED INITIAL CLOSUREJournal of Urology, VOL. 165, NO. 6 Part 2, (2428-2430), Online publication date: 1-Jun-2001.STEIN R, JÜNGER T, ANDERS M, FISCH M, KERSCHBAUMER F, HOWALDT H and HOHENFELLNER R (2018) THE GIESSEN-MAINZ-FRANKFURT PROCEDURE: A NEW METHOD FOR COMPLEX PELVIC RECONSTRUCTION FOR BLADDER EXSTROPHYJournal of Urology, VOL. 165, NO. 4, (1235-1239), Online publication date: 1-Apr-2001.SURER I, BAKER L, JEFFS R and GEARHART J (2018) THE MODIFIED CANTWELL-RANSLEY REPAIR FOR EXSTROPHY AND EPISPADIAS: 10-YEAR EXPERIENCEJournal of Urology, VOL. 164, NO. 3 Part 2, (1040-1043), Online publication date: 1-Sep-2000.STJERNQVIST K and KOCKUM C (2018) BLADDER EXSTROPHY: PSYCHOLOGICAL IMPACT DURING CHILDHOODJournal of Urology, VOL. 162, NO. 6, (2125-2129), Online publication date: 1-Dec-1999.Gearhart J (2018) EDITORIAL: THE EXSTROPHY-EPISPADIAS COMPLEX IN THE NEW MILLENNIUM-SCIENCE, PRACTICE AND POLICYJournal of Urology, VOL. 162, NO. 4, (1421-1423), Online publication date: 1-Oct-1999.Gearhart J (2018) EDITORIAL: EVOLUTION OF EPISPADIAS REPAIR-TIMING, TECHNIQUES AND RESULTSJournal of Urology, VOL. 160, NO. 1, (177-178), Online publication date: 1-Jul-1998. Volume 157Issue 3March 1997Page: 999-1003 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Richard I. Silver More articles by this author Andrew Yang More articles by this author Jacob Ben-Chaim More articles by this author Robert D. Jeffs More articles by this author John P. Gearhart More articles by this author Expand All Advertisement PDF downloadLoading ...

Pubic symphysis

10.1016/s0022-5347(01)65131-0

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Citations (114)

Ovarian involvement in neuroblastoma

Medical and Pediatric Oncology (1979)

William H. Meyer George W. Yu Eileen S. Milvenan Robert D. Jeffs Herbert Kaizer

Abstract A case of neuroblastoma involving the ovaries bilaterally at diagnosis is reported. A review of previous cases of neuroblastoma at Johns Hopkins Hospital revealed no previous occurrence of ovarian metastatic disease at diagnosis, but involvement in about one‐third of cases at autopsy. This appears to be a more common site of metastatic disease than has been previously recognized. The significance of this site of metastases in neuroblastoma is unknown.

10.1002/mpo.2950070108

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Citations (20)