Paediatric urology

2019 ◽  
pp. 669-730
Author(s):  
John Reynard ◽  
Simon F Brewster ◽  
Suzanne Biers ◽  
Naomi Laura Neal

This chapter covers paediatric urology, and the fourth edition includes the latest guidelines and recommendations (National Institute for Health and Care Excellence 2013, British Association of Paediatric Urologists 2015). The embryology of the urinary and genital tracts is detailed. The presentation of undescended testes, vesicoureteric reflux, and urinary tract infection and their current management recommendations are included. New sections in the fourth edition include paediatric trauma, nephrolithiasis, uro-physiology, and the foreskin. Megaureter, ectopic ureter, and ureterocele are also covered in detail. Hypospadias and epispadias are covered. This chapter also includes the assessment and management of children with urinary incontinence and nocturnal enuresis.

2002 ◽  
Vol 38 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Sarah J. Lautzenhiser ◽  
Dale E. Bjorling

A 7-month-old, female English cocker spaniel was examined because of a complaint of urinary incontinence. Excretory urography revealed a small right kidney and right-sided hydroureter, ectopic ureter, and ureterocele. Ureteronephrectomy and ovariohysterectomy were performed, but the distal ureter and ureterocele were left in situ. Recurrent urinary tract infections and intermittent urinary incontinence persisted after surgery. Vaginourethrography demonstrated the presence of a urethral diverticulum associated with the ureterocele. Ureterocelectomy was performed, and the dog remains continent 4 years after ureterocelectomy. Persistent urinary incontinence and urinary tract infection were attributed to failure to resect the ureterocele.


2009 ◽  
pp. 745-762 ◽  
Author(s):  
Gabrielle Williams ◽  
Premala Sureshkumar ◽  
Patrina Caldwell ◽  
Jonathan C. Craig

2021 ◽  
Vol 9 (4) ◽  
pp. 133-141
Author(s):  
G. A. Makarov ◽  
V. V. Sizonov ◽  
V. M. Orlov ◽  
V. V. Vigera

Extravesical ureter ectopia is a rare cause of urinary incontinence. We are reporting a case of a 3-year-old girl with urinary incontinence. The girl was observed and treated for recurrent urinary tract infection (UTI) against the background of left-side duplication of the upper urinary tract and vesicoureteral reflux (VUR). Two-time endoscopic treatment using a dextranomer/hyaluronic acid allowed to eliminate VUR on both sides and achieve stable clinical and laboratory remission of UTI. After potty training, the child had a constant drip of urine along with normal urination. The examination revealed extravesical ureter ectopia of the left duplicated kidney upper pole and a bladder space-occupying mass with hyperdensive inclusions in the projection of the vesical trigone on the left, which we regarded as a result of the migration of the implant and the appearance of histopathological changes in it. The presence of a bladder space-occupying mass determined the choice of the surgical technique in favor of the formation of a ureterocystoanastomosis with a duplicated ectopic ureter and the removal of a bladder space-occupying mass. When managing patients after endoscopic treatment of VUR, it should be considered the possibility of morphological changes in the bulking agent due to the accumulation of calcium and uric acid salts.


2013 ◽  
pp. 645-696
Author(s):  
John Reynard ◽  
Simon Brewster ◽  
Suzanne Biers

Embryology: urinary tract 646 Embryology: genital tract 648 Undescended testes (UDT) 650 Urinary tract infection (UTI) 654 Antenatal hydronephrosis 658 Vesicoureteric reflux (VUR) 662 Megaureter 666 Ectopic ureter 668 Ureterocele 670 Pelviureteric junction (PUJ) obstruction 672 Posterior urethral valves (PUV) 674 Cystic kidney disease 676...


BMJ Open ◽  
2014 ◽  
Vol 4 (2) ◽  
pp. e004051 ◽  
Author(s):  
Rikke Guldberg ◽  
Ulrik Schiøler Kesmodel ◽  
Søren Brostrøm ◽  
Linda Kærlev ◽  
Jesper Kjær Hansen ◽  
...  

2006 ◽  
Vol 42 (6) ◽  
pp. 462-466 ◽  
Author(s):  
Seth N. Ghantous ◽  
Jason Crawford

A 5-month-old domestic shorthair cat was presented for evaluation of urinary incontinence since birth. Excretory urography revealed dilated double ectopic ureters draining a hydronephrotic right kidney. Urine culture yielded a pure culture of Klebsiella pneumoniae. The cat was treated initially with bactericidal antibiotics, followed by right-sided nephroureterectomy. The surgery and antibiotic therapy led to complete resolution of urinary incontinence and urinary tract infection. Ureteral duplication is an unusual congenital anomaly that has not been previously reported in the cat.


1997 ◽  
Vol 7 (1) ◽  
pp. 83-92 ◽  
Author(s):  
SM Jeyaseelan ◽  
JA Oldham ◽  
BH Roe

Urinary incontinence is a condition in which involuntary loss of urine is objectively demonstrated and results in a social or hygienic problem. A poll conducted for the Association for Continence Advice estimated that up to three million people in the UK suffer from incontinence. The incontinence may be transient, e.g. as a result of a urinary tract infection, or permanent, e.g. as a result of damage to the pelvic floor. Many sufferers may not seek medical advice for their predicament and the figures given above may be a gross underestimation of the problem.


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