PEDI GU REVIEW voiding dysfunction i
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1. The document discusses various types of pediatric voiding dysfunction including neurogenic and non-neurogenic causes. Common neurogenic causes include myelomeningocele, sacral agenesis, and cerebral palsy. 2. Evaluation of patients may involve urodynamic studies to assess detrusor and sphincter function. Management depends on the etiology and may include clean intermittent catheterization, anticholinergic medications, or surgical interventions. 3. Long-term follow up is important to monitor for issues like urinary tract infections, vesicoureteral reflux, incontinence, and secondary complications.
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PEDI GU REVIEW intersex
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Urology is the branch of medicine that focuses on the urinary tract and male reproductive system. It covers conditions of the kidneys, ureters, bladder, urethra, and male genitals. Common diseases treated in urology include benign prostatic hyperplasia (BPH), urinary tract infections (UTIs), kidney stones, incontinence, and cancers of the urinary system. Urology departments are staffed by urologists, nurses, and have various equipment like cystoscopes, uretroscopes, and holmium lasers. NABH standards for urology focus on communication between staff, respecting patient privacy, and informing patients of critical test results
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This document discusses important urinary symptoms organized by location in the urinary tract (upper, lower, general) and type (pain, hematuria, irritative, obstructive). Key points include:
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Postnatal mangement of anh (2)
1. Antenatal hydronephrosis is a common prenatal finding that requires postnatal evaluation to identify potential kidney abnormalities.
2. Most cases of antenatal hydronephrosis are transient and resolve without intervention, while others may indicate issues like urinary tract obstruction that require treatment.
3. Postnatal evaluation includes ultrasound, voiding cystourethrogram, diuretic renography and other tests to determine the severity and cause of hydronephrosis and assess kidney function.
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Voiding dysfunction A Simple Approach Towards Understanding and Management - ...
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Megaureter ppt. Types, pathophysiology, evaluation and management.
- Megaureter (MGU) is defined as a ureteral diameter greater than 7 mm. MGU can be classified based on its cause as refluxing, obstructed, both refluxing and obstructed, or nonrefluxing and nonobstructed.
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Antenatal Hydronephrosis, Hydronephrosis in Child Treatment, Delhi - Dr. Pras...
With easy availability of ultrasound screening and improvement in expertise, hydronephrosis is now a very frequently diagnosed problem reported in 1 to 5% of all pregnancies. This has enabled us to have a better understanding of the natural course of the problem and early intervention before it results in permanent renal damage.
The distinction between urinary tract obstruction and dilatation remains a challenging problem for clinicians. Still there are no definite guidelines and protocols for evaluation of antenatal hydronephrosis (ANH).
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POSTERIOR URETHRAL VALVES- Pediatric Surgery
• Dear viewers,
• Greetings from “ Surgical Educator”
• Today I have uploaded one more video in Pediatric Surgery/Pediatric Urology- “ Posterior Urethral Valves”
• Posterior Urethral Valves is the congenital cause for Bladder Outlet Obstruction, resulting in abnormal development of the kidneys as well as the bladder.
• In this video, I talked about the learning outcomes, introduction, etiopathogenesis, clinical features, investigations, differential diagnosis, treatment, follow-up and prognosis of “ Posterior Urethral Valves”
• I hope you will enjoy the video for its educational value.
• You can watch all my teaching videos in the following links
• surgicaleducator.blogspot.com youtube.com/c/surgicaleducator
• Thank you for watching the video.
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hydronephrosis.pptx
This document discusses the management of fetal hydronephrosis. It begins by defining hydronephrosis as the dilatation of the renal pelvis with or without calyceal dilatation. It then covers the grading of fetal hydronephrosis based on gestational age and renal pelvic diameter. Risk stratification systems like the UTD system are presented. Management depends on factors like severity, laterality, and presence of other anomalies. Most cases resolve spontaneously but severe or progressive cases may require interventions like pyeloplasty.
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This document provides an overview of the evaluation and management of posterior urethral valves. It begins with an introduction discussing the history and embryology of PUV. It then covers the clinical presentation, diagnostic evaluation, management including in utero and postnatal approaches, complications, and long-term outcomes. Key points include that PUV causes obstructive changes that damage the urinary tract, early diagnosis and relief of obstruction is important to preserve renal function, and bladder dysfunction often persists long-term requiring lifelong management.
obstructive uropathy in Neonatology
This document discusses obstructive uropathy in neonates. It begins with an example case of a preterm baby with bilateral hydronephrosis and thickened bladder walls. It then provides general information on obstructive uropathy including causes, presentations, investigations, and treatment principles. Specific conditions discussed in more detail include posterior urethral valves, ureteropelvic junction obstruction, and vesicoureteric reflux.
hydronephrosis.pptx
Hydronephrosis is the dilation of the renal pelvis and calyces due to partial or intermittent obstruction of urine flow. It is usually caused by blockages or reflux in the urinary tract. Common causes in children include vesicoureteral reflux, ureteropelvic junction obstruction, and posterior urethral valves. Diagnosis involves renal ultrasound and tests to assess kidney function. Treatment depends on the severity and underlying cause, ranging from observation to surgery to correct blockages or reflux. Complications can include urinary tract infections, kidney damage, and renal failure if not properly treated.
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This document provides an overview of duodenal atresia, including its definition, epidemiology, etiology, clinical features, diagnosis, management, complications, and differential diagnosis. Duodenal atresia is a congenital absence or closure of part of the duodenum due to defective fusion during development. It commonly presents after birth with vomiting, jaundice, and abdominal distension. Diagnosis is typically made through imaging findings like the "double bubble" sign on x-ray. Surgical management involves bypassing the blocked portion of duodenum through procedures like duodenoduodenostomy. Complications can include anastomotic issues or persistent obstruction.
antenatal Hydronephrosis and approach
This document provides an overview of the approach to congenital hydronephrosis. It defines hydronephrosis and describes the most common causes including physiologic hydronephrosis, UPJ obstruction, UVJ obstruction, VUR, Eagle-Barrett Syndrome, PUV, and MCDK. It discusses grading of fetal and neonatal hydronephrosis using RPD, SFU criteria, and UTD classification system. The document outlines the approach including physical exam, imaging studies like VCUG and diuretic renography to diagnose underlying causes and guide treatment.
CONGENITAL GENITO URINARY DISORDERS.pptx
This document discusses congenital genitourinary disorders that commonly affect the kidneys and urinary tract in children. It outlines various abnormalities that can occur in the kidneys, ureters, bladder and urethra. Some of the disorders discussed include renal agenesis, horseshoe kidney, posterior urethral valves, hypospadias, and Wilm's tumor. The document provides details on the symptoms, diagnosis and management of these various congenital genitourinary disorders that can present in pediatric patients.
Puv
PUV can present in newborns with life-threatening conditions or in older children with minor issues. Initial management involves bladder drainage and valve ablation. Reflux occurs in 50% and often resolves after ablation, though some patients require long-term antibiotics. Persistent hydronephrosis in about half of patients requires further intervention like upper tract diversion, though consensus is initial bladder drainage is preferred. Careful long-term management is needed to preserve renal function and prevent infection.
PUJ obstruction.pptx
PUJ obstruction is a restriction of urine flow from the renal pelvis to the ureter. It can be congenital or acquired, with congenital being one of the most common causes of antenatal hydronephrosis. Diagnosis involves ultrasonography, VCUG, diuretic renography and other imaging modalities to determine severity and presence of associated issues. Treatment depends on severity but typically involves surgical intervention like open or laparoscopic pyeloplasty to resect and reanastomose the obstructed segment if drainage is significantly impaired or renal growth is poor. Postoperative follow up with imaging is important to monitor repair.
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PEDI GU REVIEW voiding dysfunction i
- 1. VOIDING DYSFUNCTION Pediatric GU Review UCSD Pediatric Urology George Chiang MD Sara Marietti MD Outlined from The Kelalis-King-Belman Textbook of Clinical Pediatric Urology 2007 (not for reproduction, distribution, or sale without consent)
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