Are high-grade dysplastic adenoma-like mass lesions an indication for colectomy in patients with ulcerative colitis?
Our data suggest that the presence of HGD in DALMs does not warrant colectomy. Continued close observation is suggested in this patient cohort after complete excision of polyps. Further prospective evaluation of this patient population is merited.
In our experience the staged approach to the repair of severe hypospadias requires significantly more cumulative surgical attempts than the modified TPIF. Indeed, in the majority of our cases the so-called "2-stage hypospadias repair" was a misnomer. The TPIF offers a reliable 1-stage repair. We prefer this approach to staged repairs even for severe hypospadias.