Paediatric Urology: A Simplified Approach to Dealing with Urinary Tract Dilatation

Carroll, Daniel (2023) Paediatric Urology: A Simplified Approach to Dealing with Urinary Tract Dilatation. In: Carroll, Daniel, Stalewski, Harry, and Rathnamma, Bhanu Mariyappa, (eds.) Paediatric Surgery: Clinical Practice in Remote and Rural Settings, and in Tropical Regions. CRC Press, Boca Raton, FL, USA, pp. 127-138.

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Abstract

Paediatric urology is a distinct subspecialty of paediatric surgery specialising in the management of conditions of the genitourinary tract of boys and girls. Abnormalities of the renal tract are one of the most commonly identified antenatal malformations. Antenatal hydronephrosis (AHN) complicates between 1 and 5% of pregnancies and is the most commonly antenatally detected congenital abnormality. In an attempt to improve the long-term outcomes for patients diagnosed with AHN, empirical continuous antibiotic prophylaxis has been the mainstay of conservative management for over 30 years. With improvements in antenatal care and scanning technology around nine out of ten clinically significant urinary tract abnormalities are detected during pregnancy. The most serious potential cause of AHN in male infants is posterior urethral valves. There is a wide variety of clinical presentations after delivery. Some patients have significant oligohydramnios and subsequent pulmonary hypoplasia and moulding deformities.

Item ID: 79015
Item Type: Book Chapter (Research - B1)
ISBN: 9781000862782
Copyright Information: © 2023 selection and editorial matter, Daniel Carroll, Harry Stalewski, Bhanu Mariyappa Rathnamma; individual chapters, the contributors.
Date Deposited: 15 Jan 2024 05:32
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320214 Nephrology and urology @ 70%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3213 Paediatrics > 321302 Infant and child health @ 30%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
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