Bilateral anorchism is a rare condition. In the past almost all of these patients have undergone surgical exploration. With modern laboratory determinations of serum gonadotropin and testosterone it is now possible to avoid operation in a large number of these cases. A case is presented that illustrates this point and a protocol is established for the treatment of bilateral anorchism, including indications for operation and conservative management.

Vesicoureteral reflux during formalin therapy of intractable hemorrhagic cystitis can be prevented with Fogarty catheters inserted cystoscopically into the lower ureters. With this technique formalin instillation and cystography can be done through the cystoscope at the same time. Topical intravesical vasopressin did not, in our experience, lessen the bladder hemorrhage.

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The authors are tracking the issues mentioned in consultations and efficacy of succession planning, and will be resurveying faculty to further refine their work. This framework approach could serve as a template for other academic health centers to address late-career faculty development.