By Ahmed H. Al-Salem
This publication is essential for physicians taking good care of younger sufferers with urological stipulations, as a brief reference ebook that's effortless to learn and well-illustrated. Pediatric urological stipulations are quite universal, and babies and youngsters are noticeable day by day with urological difficulties both in clinics or in hospitals.
This publication comes in handy to normal surgeons, pediatricians, pediatric surgeons, fellows, citizens, basic physicians and relations physicians, scientific scholars and nurses. The Editor has won adventure within the prognosis and administration of varied urological difficulties in babies and kids, operating in busy sanatorium during the last 25 years.
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Additional info for An Illustrated Guide to Pediatric Urology
11 Two micturating cystourethrograms showing hydrouretronephrosis with dilated urinary bladder secondary to posterior urethral valve. Note the tortuous dilated ureter DUPLEX URETER Fig. 12 Intraoperative photograph showing an atrophic kidney with dilated refluxing duplex system. Note the markedly dilated duplex ureter – Acute, unilateral obstruction can cause hypertension via activation of the reninangiotensin system. – The elevation in blood pressure is probably volume mediated as renin secretion is usually normal in patients with bilateral urinary tract obstruction or obstruction of a solitary functioning kidney.
Hydronephrosis is usually caused by obstruction of the free flow of urine from the kidney. • Hydroureteronephrosis is usually caused by obstruction at the uretrovesical junction or below. • The signs and symptoms of hydronephrosis depend upon: – Whether the obstruction is acute or chronic – Whether the obstruction is partial or complete – Whether the obstruction is unilateral or bilateral – Hydronephrosis that occurs acutely with sudden onset can cause intense pain in the flanks (Dietl’s crisis).
It is characterized by the followings: • Omphalocele • Bladder extrophy (two exstrophied hemibladders separated by a foreshortened hindgut or cecum, often blind-ending resulting in an imperforate anus). • Anterior lower abdominal wall defect • Widened and separated pubic bones • Splitting of both male (penis) and female (clitoris) external genitalia • Anorectal agenesis or anteriorly placed anus • Spinal defects – Cloacal exstrophy is an extremely rare birth defect, present in 1/200,000 and 1/400,000 live births.