IS ENDOSCOPIC DECOMPRESSION OF THE NEONATAL EXTRAVESICAL UPPER POLE URETEROCELE NECESSARY FOR PREVENTION OF URINARY TRACT INFECTIONS OR BLADDER NECK OBSTRUCTION?

Ten children with urinary tract infections (eight of which were due to Esch, coli and two with a mixed infection caused by Esch. coli and Staph. aureus) were treated with aureomycin. The dosage ranged from 30 to 60 mg./kg./day in a four hour divided dosage schedule. The urine culture in 9 of the 10 patients became sterile within 48 hours while the 10th became negative in four days. There was a concomitant disappearance of pyuria and a subsidence of symptoms after initiation of therapy. Three of the patients, one of whom had a bladder neck obstruction, relapsed following discontinuation of aureomycin.

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A CRITICAL EVALUATION OF URETHRAL OBSTRUCTION IN FEMALE CHILDREN

PEDIATRICS ◽

10.1542/peds.51.2.272 ◽

1973 ◽

Vol 51 (2) ◽

pp. 272-277

Author(s):

Dixon Walker ◽

George A. Richard

Keyword(s):

Urinary Tract ◽

Urinary Tract Infections ◽

Bladder Neck ◽

Bladder Outlet Obstruction ◽

Critical Evaluation ◽

Outlet Obstruction ◽

Significant Degree ◽

Surgical Correction ◽

Female Children ◽

Tract Infections

In this article we have attempted to partially review the literature in regard to bladder outlet obstruction in female children. It should be reiterated that, despite the great amount of information available and the number of studies done, when subjected to critical evaluation, there is no distinctive study at this time which clearly indicates that routine surgical correction, either by bladder neck revision, dilation, urethrotomy, or meatotomy, alters the course of recurrent urinary tract infections to any significant degree.

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Efficacy of bladder irrigation and surveillance program in prevention of urinary tract infections and bladder calculi in children with an ileocystoplasty and bladder neck repair

Pediatric Surgery International ◽

10.1007/s00383-011-2913-5 ◽

2011 ◽

Vol 27 (7) ◽

pp. 781-785 ◽

Cited By ~ 12

Author(s):

Marleen van den Heijkant ◽

Nadeem Haider ◽

Craig Taylor ◽

Ramnath Subramaniam

Keyword(s):

Urinary Tract ◽

Urinary Tract Infections ◽

Bladder Neck ◽

Surveillance Program ◽

Bladder Calculi ◽

Bladder Irrigation ◽

Tract Infections

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Vesicoureteral Reflux in the Primate. Iv. Infection as Cause of Prolonged High-Grade Reflux

PEDIATRICS ◽

10.1542/peds.82.1.91 ◽

1988 ◽

Vol 82 (1) ◽

pp. 91-95

Author(s):

James A. Roberts ◽

M. Bernice Kaack ◽

Anne B. Morvant

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Vesicoureteral Reflux ◽

Bladder Neck ◽

High Grade ◽

Ureterovesical Junction ◽

Group A ◽

Bladder Neck Obstruction ◽

Tract Infections

High-grade reflux commonly lasts longer than moderate reflux, which disappears with maturtion of the ureterovesical junction. It is known that ureteral function is affected by urinary tract infection from studies in experimental animals, as well as through clinica1 findings in patients with upper tract infection. Whether infection might affect the ability of the ureter to prolong high-grade reflux was questioned. This observation might explain why high-grade reflux does not disappear as rapidly as moderate reflux in children with recurrent urinary tract infections. Vesicoureteral reflux was produced surgically in combination with bladder neck obstruction using infant monkeys. The reflux thus produced was high grade with ureteral dilation and caliectasis. In the group of animals in which the bladder neck obstruction was relieved surgically, the reflux rapidly disappeared. In the other group, a bladder infection was produced with Escherichia coli at the time of release of the bladder neck obstruction. The reflux lasted significantly longer, an average of 18 months. Therefore, it appears that treatment of urinary tract infection rather than vesicoureteral reflux is the most important therapy.

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