CONGENITAL ANOMALIES UROLOGY SUB DIVISION DEPARTMENT OF SURGERY MEDICAL SCHOOL UNIVERSITY OF SUMATERA UTARA
|
|
- Erick Fowler
- 6 years ago
- Views:
Transcription
1 CONGENITAL ANOMALIES UROLOGY SUB DIVISION DEPARTMENT OF SURGERY MEDICAL SCHOOL UNIVERSITY OF SUMATERA UTARA
2 UPPER URINARY TRACT Abnormalities of the kidney position & number 1. Simple ectopia 2. Thoracic ectopia 3. Crossed ectopia & fusion (Bauer) 4. Horseshoe kidney 5. Bilateral renal agenesis 6. Unilateral renal agenesis 7. Supernumerary kidney Congenital anomalies
3 UPPER URINARY TRACT Cystic abnormalities of the kidney (Glassberg) 1. Autosomal dominant polycystic kidney disease 2. Autosomal recessive polycystic kidney disease 3. Medullary sponge kidney (tubular ectasia) 4. Medullary cystic disease (juvenile nephronophtisis) 5. Unilateral multicyctic dysplastic kidney Congenital anomalies
4 UPPER URINARY TRACT Collecting system abnormalities (Bauer) 1. Calyceal diverticulum 2. Hydrocalycosis 3. Megacalycosis 4. Infundibulopelvic stenosis 5. Ureteropelvic junction obstruction (UPJO) Congenital anomalies
5 UPPER URINARY TRACT Ureteral abnormalities 1. Duplication of ureter 2. Atresia 3. Mega-ureter 4. Vesicoureteral reflux 5. Ureteral ectopia 6. Ureterocele Congenital anomalies
6 LOWER URINARY TRACT Extrophy & epispadia Urachus Posterior Urethral Valves (Type I) Megalourethra Miscellaneous Congenital anomalies
7 EXTERNAL GENITAL MALFORMATION Hypospadia Cryptorchidism Hernia and communicating hydrocele appendages Congenital anomalies
8 CLOACAL DYSGENESIS Cloaca anomaly Vaginal Atresia & Mayer-Rokitansky-Küster-Hauser Syndrome Congenital anomalies
9 SIMPLE ECTOPIA Incidens 1 : 900, left side favored Associated findings : - Small size with persistent fetal lobulation - Anomalous vasculature - Contralateral agenesis - VUR - undescended testes, hypospadia - urethral duplication (10-20% male) - skeletal & cardiac anomalies (20%) UPPER URINARY TRACT-- Abnormalities of the kidney position & number
10 THORACIC ECTOPIA < 5% of ectopic kidney Origin is delayed closure of diaphragmatic anlage vs overshoot of renal ascent Adrenal may or may not be thoracic UPPER URINARY TRACT-- Abnormalities of the kidney position & number
11 CROSSED ECTOPIA & FUSION 1 : 1000 to 1 : 2000, 90% crossed with fusion 2 : 1 male, 3 : 1 left crossed Origin abnormal migration of ureteral bud or rotation of caudal end UPPER URINARY TRACT-- Abnormalities of the kidney position & number
12 HORSESHOE KIDNEY 1 : 400, 2:1 males Origin fusion of lower poles before or during rotation (4 ½ - 6 wks of gestation) Associated findings : - anomalous vessels - skeletal, CV, CNS anomalies - hypospadias & cryptorchidism, UTI, stone, etc Excluding other anomalies, survival isn t affected UPPER URINARY TRACT-- Abnormalities of the kidney position & number
13 BILATERAL RENAL AGENESIS 1 : 4800 births Origin ureteral bud failure or absence of the nephrogenic ridge Associated findings : - absent renal arteries - complete ureteral atresia (50%) - bladder atresia (50%) - low birth weight, oligohydramnion UPPER URINARY TRACT-- Abnormalities of the kidney position & number
14 UNILATERAL RENAL AGENESIS 1 : 1500, 2 : 1 male, left kidney more often Origin ureteral bud failure; familial trend Associated findings : - absent ureter with hemitrigone (50%) - adrenal agenesis (10%) - genital anomalies If single kidney N no special precaution and survival is not affected UPPER URINARY TRACT-- Abnormalities of the kidney position & number
15 SUPERNUMERARY KIDNEY Incidens : unknown Origin combined defect of ureteral bud & metanephros Associated findings : - hydronephrosis (50%) - common ureter (40%) - duplex ureter (40%) - ectopic ureter (20%) UPPER URINARY TRACT-- Abnormalities of the kidney position & number
16 Autosomal dominant polycystic kidney disease Adult type is the most common cystic disease in humans 1 : 1250, 10 % of all ESRD Present at age yrs, can occur in children Pain, hematuria, progressive renal insuff IVU irregular renal enlargement + calyceal distortion Assoc. findings : liver cysts, berry aneurism UPPER URINARY TRACT Cystic abnormalities of the kidney
17 Autosomal recessive polycystic kidney disease Infantile type, rare (1 : ) IVU streaked appearance (sunburst pattern) Usually die within the first 2 mo of life UPPER URINARY TRACT Cystic abnormalities of the kidney
18 Medullary sponge kidney (tubular ectasia) Adult disease Enlarged tortuous collecting ducts 1 : IVU bristles on a brush Complication : infection, stones, distal renal tubular acidosis, hematuria 1/3 pat with hypercalcemia UPPER URINARY TRACT Cystic abnormalities of the kidney
19 Medullary cystic disease (juvenile nephronophthisis) Bilateral small kidney, amedullary cysts Progress to ESRD by age 20 Juvenile type 20% of childhood renal failure deaths Polydipsia & polyuria in 80% Retinitis pigmentosa in 16% UPPER URINARY TRACT Cystic abnormalities of the kidney
20 Unilateral multicyctic dysplastic kidney Most common cystic disease of the newborn Second most common abdominal mass in infant after hydronephrosis Left kidney is more common, = UPPER URINARY TRACT Cystic abnormalities of the kidney
21 CALYCEAL DIVERTICULUM 4,5 : 1000 Origin failure of degeneration of 3 rd & 4 th order branches of ureteral bud In 1/3 patients stones will be form Th/ : removal stones, drainage of pus, marsupialization to the renal surface UPPER URINARY TRACT Collecting System Abnormalities (Bauer)
22 HYDROCALICOSIS Rare Involving vascular compression, cicatrization or achalasia of the infundibulum Rarely requires any intervention UPPER URINARY TRACT Collecting System Abnormalities (Bauer)
23 MEGACALYCOSIS Rare, one or both kidney Dilated unobstructed calyces, > 25 / kidney (N : 8 10) Faulty uretral bud division, hypoplasia of juxtamedullary glomeruli & maldevelopment of calyceal musculature : = 6 : 1, only in Caucasian X-linked recessice UPPER URINARY TRACT Collecting System Abnormalities (Bauer)
24 INFUNDIBULOPELVIC STENOSIS May involve part or all of one or both kidney Calyces quite large No progressive functional deterioration Maybe with dysplasia & lower tract anomalies Common with vesicoureteral reflux UPPER URINARY TRACT Collecting System Abnormalities (Bauer)
25 UPJO (uretero pelvic junction obstruction) Usual cause of the most common abdominal mass in children (hydronephrosis) : = 2 : 1 (in child), left side predominanace Episodic flank pain, flank mass, hematuria, infection, nausea & vomiting, uremia Prompt surgical repair UPPER URINARY TRACT Collecting System Abnormalities (Bauer)
26 DUPLICATION OF URETER 1 : 125, 1.6 : 1, 85% unilateral Autosomal dominant Associated with reflux (42%), renal scarring & dilation (29%), ectopic insertion (3%) ATRESIA Usually associate with a multicystic dysplastic kidney, distal segment atresia is often associated with contralateral hydronephrosis or dysplasia UPPER URINARY TRACT Ureteral Abnormalities
27 MEGA URETER 3 : 1 ; 3 : 1 left-sided 3 types : - refluxing type * primary : primary reflux mega ureter, prune-belly * secondary : urethral obstruction, neuropathic bladder - obstructed type * primary (most common): intrinsic obstruction *secondary : urethral obstruction, neuropathic bladder, extrinsic obs, retroperitoneal tumor - nonreflux-nonobstructed type * primary : nonreflux nonobstructed mega ureter * secondary : polyuria infection, remaining wide after relief of distal obstruction UPPER URINARY TRACT Ureteral Abnormalities
28 VESICOURETERAL REFLUX 1 : 1000, found in 50% infant Grade I to V by the International Reflux Study System All children with VUR prophylactic AB at ¼ the therapeutic dose (once a day) Trimethoprim-sulfamethoxazole most commonly used UPPER URINARY TRACT Ureteral Abnormalities
29 VESICOURETERAL REFLUX Grading I ureter only II ureter, pelvis, and calyces; no dilatation, normal calyceal fornices
30 VESICOURETERAL REFLUX Grading III Mild or moderate dilatation and/or tortuosity of ureter and mild or moderate dilatation of renal pelvis but no or slight blunting of fornices IV Moderate dilatation / tortuosity of ureter and moderate dilatation of renal pelvis and calyces; Complete obliteration of sharp angle of fornices but maintenance of papillary impressions in majority of calyces
31 VESICOURETERAL REFLUX Grading V Gross dilatation & tortuosity of ureter; gross dilatation of renal pelvis & calyces; papillary impressions are no longer visible in majority of calyces
32 Grade I III (minimally dilated) medically initially Grade IV V require surgical correction No absolute indications for surgery for reflux, considerations which favor surgical intervention : - breakthrough infections - failure to comply with AB prophylaxis regimen - persistent reflux into puberty in female - progressive scarring - worsening renal function
33 Vesicoureteral Reflux (VUR)
34 Vesicoureteral Reflux (VUR)
35 URETERAL ECTOPIA 1 : 1900, 3 : 1, 10% bilateral Associated findings : - renal dysplasia - incontinence & ureteral obstruction Management : removal of the renal segment and ectopic ureter UPPER URINARY TRACT Ureteral Abnormalities
36 URETEROCELE 1 : 500, 4 : 1 Classification : - simple : intravesical with single ureter - intravesical : entire ureterocele, including the usually stenotic orifice contained within the bladder, duplicated ureter - ectopic : part of ureterocele, including orifice, extends into urethra UPPER URINARY TRACT Ureteral Abnormalities
37 EXTROPHY & EPISPADIA Origin failure of the cloacal membrane to migrate toward the perineum Some degree of separation of symphysis pubis Epispadia 55% penopubic 20% penile 5% balanitic 20% female LOWER URINARY TRACT (GEARHART)
38
39 Classic exstrophy (60%) - 1 : , 3 : 1 - Bladder & urethra are open dorsally, penis is short & clitoris is bifid - UDT & inguinal hernia are common Cloacal exstrophy - 1 : , = - vesicointestinal fissure opening into the center of the exstrophied bladder - often omphalocele - panis or clitoris is bifid or maybe absent LOWER URINARY TRACT (GEARHART)
40 26
41
42
43 Management Managed in stages - bladder closure in the newborn period - epispadia repair ± 1 2 yrs of age - functioning Second option is bladder closure + bladder neck + epispadias repair all done at a single stage LOWER URINARY TRACT (GEARHART)
44 URACHUS Th/ : excision when symptomatic In a few cases may undergo malignant trasnformation LOWER URINARY TRACT (GEARHART)
45
46
47
48 POSTERIOR URETHRAL VALVES (TYPE I) 1 : in boys > 50% diagnosed in the 1 st yr of life, wiyh more severe obstruction Associated findings : VUR, severe renal dysplasia, severe hydroureteronephrosis Diagnosis : - antenatal diagnosis - UTI or poor stream in infant / older child - newborn with palpable bladder & kidneys and urinary ascites LOWER URINARY TRACT (GEARHART)
49 Management Sick infant bladder drainage with small feeding tube (6F) per urethra Healthy infant transurehtral fulguration of valves AB prophylaxis is maintained as long as reflux persist LOWER URINARY TRACT (GEARHART)
50 MEGALOURETHRA Rare, most often with prune belly syndrome 2 types : - scaphoid type deficiency corpus spongiosum balloning of the urethra during voiding - fusiform type deficiency of corpora cavernosa as well as corpus spongiosum elongated flaccid penis with redundant skin LOWER URINARY TRACT (GEARHART)
51 HYPOSPADIA 1 : 300 live male birth Origin failure of mesodermal urethral folds to converge in midline; chordee results from falilure of urethral plate disintegration or fibrosis of inner genital folds Associated findings : - UDT (9,3%) - inguinal hernia (9%) - upper tract anomalies (46%) EXTERNAL GENITAL MALFORMATION
52 EXTERNAL GENITAL MALFORMATION
53 EXTERNAL GENITAL MALFORMATION
54 classification Hypospadias without chordee meatus betwwen midshaft and corona Hypospadia with chordee : - meatus penile or penoscrotal after release of chordee - meatus scrotal or perineal Chordee with hypospadias : - with normal urethra - with short or hypoplastic urethra EXTERNAL GENITAL MALFORMATION
55 Management One-stage correction between 4 12 mo of age is preferred Avoid circumcision Refer to urology Small urethrocutaneous fistulas Postop bleeding UTI Strictures Complications EXTERNAL GENITAL MALFORMATION
56 CRYPTORCHIDISM 1% of live male births Associated findings : - patent processus vaginalis (90%) - infertility - testicular malignancy times more common Diagnosis must discriminate retractile from truly UDT by careful examination
57
58 Management Inguinal exploration at 6 mo of age (spontaneous descent is rare after 3 mo)
59 HERNIA & COMMUNICATING HYDROCELE 1 4 % of mature infants & 13% of premature Failed closure of processus vaginalis after testicular descent Associated : frank hernia or UDT DD : stable hydreocele usually reabsorbed by mo of age No surgery is required
60
61
62
63 HYDROCELE
64
65 wr 08
Obstetrics Content Outline Obstetrics - Fetal Abnormalities
Obstetrics Content Outline Obstetrics - Fetal Abnormalities Effective February 2007 10 16% renal agenesis complete absence of the kidneys occurs when ureteric buds fail to develop Or degenerate before
More informationDevelopment of the urinary system
Development of the urinary system WSO School of Biomedical Sciences, University of Hong Kong. 3 sets of kidneys developing in succession (temporally and spatially) : Pronephros ] Mesonephros ]- Intermediate
More informationDevelopmental Abnormalities of the Kidneys and GU System
A5 Developmental Abnormalities of the Kidneys and GU System Erin Parilla, MD Neonatologist Pediatrix Medical Group, Tampa, FL The speaker has signed a disclosure form and indicated she has no significant
More informationUrinary Tract Abnormalities
Urinary Tract Abnormalities Dr Hennie Lombaard Senior Specialist Maternal and Fetal Medcine Department of Obstetrics and Gynecology Level 7 Pretoria Academic Hospital Pictures from The 18 to 23 weeks scan
More informationPediatric Urology. Access Center 24/7 access for referring physicians (866) 353-KIDS (5437)
Pediatric Urology The Urology practice at Valley Children s provides specialized care for infants, children and adolescents with genital and urological problems. In addition to pediatric urologists, the
More informationGU Ultrasound in First Trimester
Fetal Renal Malformations: The Role of Ultrasound in Diagnosis & Management Outline 1. Renal Anomalies Urinary Tract Dilation Aberrant Early Development Defects Terminal Maturation Alfred Abuhamad, M.D.
More informationFetal Renal Malformations: The Role of Ultrasound in Diagnosis & Management
Fetal Renal Malformations: The Role of Ultrasound in Diagnosis & Management 12 weeks Alfred Abuhamad, M.D. Eastern Virginia Medical School 13 weeks 2nd trimester Medullary pyramids Renal Sinus Cortex 2nd
More informationCongenital Pediatric Anomalies: A Collection of Abdominal Scintigraphy Findings: An Imaging Atlas
ISPUB.COM The Internet Journal of Nuclear Medicine Volume 5 Number 1 Congenital Pediatric Anomalies: A Collection of Abdominal Scintigraphy Findings: An Imaging Atlas V Vijayakumar, T Nishino Citation
More informationPediatric Urology. Access Center 24/7 access for referring physicians (866) 353-KIDS (5437)
Pediatric Urology The Urology practice at Valley Children s provides specialized care for infants, children and adolescents with genital and urological problems. In addition to pediatric urologists, the
More informationChapter 6: Genitourinary and Gastrointestinal Systems 93
Chapter 6: Genitourinary and Gastrointestinal Systems 93 Chapter 6 Genitourinary and Gastrointestinal Systems Embryology Three sets of excretory organs or kidneys develop in human embryos: Pronephros:
More informationRENAL SCINTIGRAPHY IN THE 21 st CENTURY
RENAL SCINTIGRAPHY IN THE 21 st CENTURY 99m Tc- MAG 3 with zero time injection of Furosemide (MAG 3 -F 0 ) : A Fast and Easy Protocol, One for All Indications Clinical Experience Congenital Disorders PROTOCOL
More information1. Congenital Anomalies of Kidney and Ureter 1
CONTENTS 1. Congenital Anomalies of Kidney and Ureter 1 1.1 Antenatal Pelviureteric Junction Obstruction 1 1.2 Bilateral Pelviureteric Junction Obstruction 3 1.3 Circumcaval Ureter 6 1.4 Crossed Renal
More information1. Normal and pathological embryology of the urinary and genital tract 2. Nephrology 3. Infection
1 1. Normal and pathological embryology of the urinary and genital tract 1.1. Development of the kidney and ureter 1.2. Development of the bladder and the urethra 1.3. Development of the female genital
More informationDevelopment of the Urinary System
Development of the Urinary System Lecture Objectives Understand the development of the kidney and related organs of the urinary system. Define the pronephrons, mesonephrons and metanephrons. Understand
More informationWhat s not! Imaging i.e CT scan, Sonography to localize testes. Find testes with imaging= surgery/orchiopexy
What s Hot and What s Not in Pediatric Urology Undescended Testes Laurence Baskin, UCSF Children s Hospital Early Surgery MRI in UDT Obesity to localize Testes Bilateral Disease Non-Palpable Testes Refer
More informationObstructive Uropathy. PATHOPHYSIOLOGIC CHANGES UUO vs BUO. Arry Rodjani Urology Department Ciptomangunkusumo Hospital Jakarta
Obstructive Uropathy PATHOPHYSIOLOGIC CHANGES UUO vs BUO Arry Rodjani Urology Department Ciptomangunkusumo Hospital Jakarta INTRODUCTION Obstructive uropathy refers to the functional or anatomic obstruction
More informationCYSTIC DISEASES of THE KIDNEY. Dr. Nisreen Abu Shahin
CYSTIC DISEASES of THE KIDNEY Dr. Nisreen Abu Shahin 1 Types of cysts 1-Simple Cysts 2-Dialysis-associated acquired cysts 3-Autosomal Dominant (Adult) Polycystic Kidney Disease 4-Autosomal Recessive (Childhood)
More informationThe functional anatomy of the urinary system. Human Anatomy Department Dr. Anastasia Bendelic
The functional anatomy of the urinary system Human Anatomy Department Dr. Anastasia Bendelic Plan Development of the kidneys and their abnormalities Development of the urinary ways and their abnormalities
More informationModule Title: GENITO-URINARY TRACT Date: May 2013 Module Rationale and Competencies
Module Title: Date: May 2013 Module Rationale and Competencies A paediatric surgeon is required to have a thorough understanding of normal anatomy and physiology, pathophysiology, investigations, differential
More informationCase Report Diagnosis of Rare Association of Orthotopic Multicystic Dysplasia with Crossed Fused Renal Ectopia
Case Reports in Urology, Article ID 140850, 4 pages http://dx.doi.org/10.1155/2014/140850 Case Report Diagnosis of Rare Association of Orthotopic Multicystic Dysplasia with Crossed Fused Renal Ectopia
More informationLower Urinary Tract Obstruction LUTO or Bladder Outlet Obstruction BOO. Miss Harriet Corbett Consultant Paediatric Urologist
Lower Urinary Tract Obstruction LUTO or Bladder Outlet Obstruction BOO Miss Harriet Corbett Consultant Paediatric Urologist Aims To give an overview of the anomalies we encounter presentation of LUTO how
More information1. Hypogonadism is usually encountered in the following conditions, except
1. Hypogonadism is usually encountered in the following conditions, except A. Congenital adrenal hyperplasia B. Noonan Syndrome C. Prader-Willi Syndrome D. Bardet-Biedl Syndrome 2. A 6 year old girl with
More informationPediatric Urologic Disorders
C H A P T E R 1 1 Pediatric Urologic Disorders Hans G. Pohl, MD Assistant Professor of Urology and Pediatrics George Washington University Children s National Medical Center Washington, D.C. Geoffrey F.
More informationIndications and effectiveness of the open surgery in vesicoureteral reflux
Indications and effectiveness of the open surgery in vesicoureteral reflux Suzi DEMIRBAG, MD Department of Pediatric Surgery, Gulhane Military Medical Academy, Ankara, TURKEY Vesicoureteral reflux (VUR)
More informationDevelopment of the urogenital system
Development of the urogenital system Location of the pronephros, mesonephros and metanephros Differentiation of the intermedierm mesoderm into nephrotome and mesonephric tubules Connection between aorta
More informationRenal Cystic Disease. Dr H Bierman
Renal Cystic Disease Dr H Bierman Objectives Be able to diagnose renal cystic disease Genetic / non-genetic Be able to describe patterns of various renal cystic disease on routine imaging studies Be able
More informationDevelopment of the Urinary System. 3 Distinct Embryonic Kidney Structures
Development of the Urinary System Excretory portion of urinary system derived from intermediate mesoderm Week 4: 1 st nephrons/renal corpuscles form Nephrotomes form and develop hollow lumens to form nephric
More informationGenetics in Nephrology. Saeid Morovvati Associate Professor of BMSU Director of Biogene Laboratory
Genetics in Nephrology Saeid Morovvati Associate Professor of BMSU Director of Biogene Laboratory Genetics in: A. Congenital Anomalies of the Kidney and Urinary Tract B. Cystic Diseases of the Kidney C.
More informationExcretory urography (EU) or IVP US CT & radionuclide imaging
Excretory urography (EU) or IVP US CT & radionuclide imaging MRI arteriography studies requiring catherization or direct puncture of collecting system EU & to a lesser extent CT provide both functional
More informationTable of Contents: OVERVIEW AND INTRODUCTION. Imaging Approaches RETROPERITONEUM. Introduction to the Retroperitoneum
Table of ontents: OVERVIEW AND INTRODUTION Imaging Approaches RETROPERITONEUM Introduction to the Retroperitoneum Duplications and Anomalies of IV Inflammati Retroperitoneal Fibrosis Deg Pelvic Lipomatosis
More informationKidney & Urinary Tract Ultrasound. Fatina Fadel Hafez Bazaraa
Kidney & Urinary Tract Ultrasound Fatina Fadel Hafez Bazaraa Ultrasonography Ultrasound Available Rapid Inexpensive Painless & no sedation needed No adverse effects/ complications Can be repeated Useful
More informationPerineal Sonography in Diagnosis of an Ectopic Ureteric Opening Into the Urethra
Case Series Perineal Sonography in Diagnosis of an Ectopic Ureteric Opening Into the Urethra S. Boopathy Vijayaraghavan, MD, DMRD Objective. To study the role of perineal sonography in the diagnosis of
More informationhoofdstuk :07 Pagina ix Introduction
hoofdstuk 00 08-03-2001 15:07 Pagina ix Introduction Incontinence at pediatric age is a problem that can harm the psychological and physical development of children. Starting in 1986 we have searched for
More informationUrogenital System. PUMC Dept. of Anat. Hist. & Embry. 钱晓菁 XIAO-JING QIAN Dept. of Anatomy, Histology & Embryology Peking Union Medical College
Urogenital System 钱晓菁 XIAO-JING QIAN Dept. of Anatomy, Histology & Embryology Peking Union Medical College intermediate mesoderm urogenital ridge mesonephric ridge genital ridge I. Urinary System 1. kidney
More informationThe number following the procedure code is the TRICARE payment group. KIDNEY
TRICARE/CHAMPUS POLICY MANUAL 6010.47-M JUNE 25, 1999 S POLICY CHAPTER 13 SECTION 9.1 ADDENDUM 1, SECTION 8 TRICARE-APPROVED AMBULATORY SURGERY S - URINARY SYSTEM The number following the procedure code
More informationURINARY SYSTEM I. Kidneys II. Nephron Unit and Urine Formation
URINARY SYSTEM I. Kidneys A. Location and Structure 1. Retroperitoneal 2. Between T12 and L3 3. Rt. kidney slightly lower 4. Two bean shaped organs 5. Adrenal gland 6. Internal construction a. Renal cortex
More informationThe Evolving Role of Antibiotic Prophylaxis for Vesicoureteral Reflux. Stephen Canon, MD Children s Urology
The Evolving Role of Antibiotic Prophylaxis for Vesicoureteral Reflux Stephen Canon, MD Children s Urology www.childrensurology.com May 17, 2008 Objectives Review literature establishing the value of antibiotic
More informationPrenatal Hydronephrosis
Prenatal Hydronephrosis What is hydronephrosis? Hydronephrosis is dilation of the kidney, specifically the renal pelvis (place where urine is stored after its production). This can be the result of an
More informationUROLOGY UROLOGY REFERRAL RECOMMENDATIONS
UROLOGY PAGE 1 These referral recommendations are provided for core Urology Services in the public health system. They exclude social or cultural circumcision, vasectomy and vasectomy reversal, and access
More informationImaging Ejaculatory Disorders and Hematospermia
ATHENS 4-6 October 2018 European Society of Urogenital Radiology Imaging Ejaculatory Disorders and Hematospermia Parvati Ramchandani, MD Professor, Radiology and Surgery University of Pennsylvania Medical
More informationMICTURATING CYSTOURETHROGRAPHY- A PICTORIAL ESSAY
PICTORIAL REVIEW MICTURATING CYSTOURETHROGRAPHY- A PICTORIAL ESSAY Palle Lalitha, 1 M. Ch. Balaji Reddy, 1 K. Jagannath Reddy, 1 Vijaya Kumari 2 1 2 Department of Radiology, Focus Diagnostic Center, Punjagutta,
More informationUrology in the Nursery/NICU
No disclosures to report Urology in the Nursery/NICU Joe Ortenberg MD FAAP Director Pediatric Urology Children s Hospital & LSUHSC-NO WB Reily Professor of Urology LSUHSC-NO Categories of Problems in the
More informationGenitourinary Radiology In-Training Test Questions for Diagnostic Radiology Residents
Genitourinary Radiology In-Training Test Questions for Diagnostic Radiology Residents March, 2013 Sponsored by: Commission on Education Committee on Residency Training in Diagnostic Radiology 2013 by American
More informationPediatric Office Urology. By Anas Hindawi BAU & MGH urology resident Supervised by Dr. khaled Al Sayed 17/09/2015
Pediatric Office Urology By Anas Hindawi BAU & MGH urology resident Supervised by Dr. khaled Al Sayed 17/09/2015 CRYPTORCHIDISM UNDESCENDED TESTIS One of the most common congenital anomalies, occurring
More informationHydronephrosis. Nephrosis. Refers to the kidney
What is hydronephrosis? Hydro Nephrosis Refers to water or fluid Refers to the kidney A build-up of fluid (urine) in the kidney is the medical term for a build-up of urine in the kidney. As the urine builds
More informationUroradiology For Medical Students
Uroradiology For Medical Students Lesson 4: Cystography & Urethrography - Part 2 American Urological Association Review Cystography is useful in evaluating the bladder, the urethra and the competence of
More informationFetal Urologic Anomalies
Fetal Urologic Anomalies Kathryn Drennan, MD Elizabeth McKinney, MD MultiCare Regional Maternal-Fetal Medicine What you should know They are common Account for 15%-20% of all congenital anomalies Associated
More informationPediatric Urology. Access Center 24/7 access for referring physicians (866) 353-KIDS (5437)
Pediatric Urology The Urology practice at Valley Children s provides specialized care for infants, children and adolescents with genital and urological problems. In addition to pediatric urologists, the
More informationCase MDCT 3D reconstructed features of posterior urethral valve
Case 12688 MDCT 3D reconstructed features of posterior urethral valve Hidayatullah Hamidi Third year Resident of Radiology French medical institute for children Radiology Department; Kabul, Afghanistan;
More informationGUIDELINES ON PAEDIATRIC UROLOGY
GUIDELINES ON PAEDIATRIC UROLOGY (Limited update April 2014) S. Tekgül (chair), H.S. Dogan, P. Hoebeke, R. Kocvara, J.M. Nijman (vice-chair), Chr. Radmayr, R. Stein Introduction Due to the scope of the
More informationJournal of Radiology Case Reports
Congenital anterior urethrocutaneous fistula at the penoscrotal junction with proximal penile megalourethra: A case report Shih-Yao Cheng 1*, Shyh-Jye Chen 1, Hong-Shiee Lai 2 1. Department of Medical
More informationPelvi-Ureteric Junction Obstruction Revisited
Dr. Bimalendu Mukherjee was trained in Urology in the UK between 1956 to 1961. Upon return to India, he took up a teaching position in Calcutta National Medical College and ultimately retired as Professor
More informationUrinary System. J. H. Lue. intermediate mesoderm cloaca coelomic epithelium
Urinary System J. H. Lue Primordium: intermediate mesoderm cloaca coelomic epithelium 1 3w(18d) 3 w 4w (24d) 4w (26d) 2 Intermediate mesoderm 3 Intermediate mesoderm intermediate mesoderm urogenital ridge
More informationUltrasound Anomaly Details
Appendix 2. Association of Copy Number Variants With Specific Ultrasonographically Detected Fetal Anomalies Ultrasound Anomaly Details Abdominal wall Bladder exstrophy Body-stalk anomaly Cloacal exstrophy
More informationBladder exstrophy and epispadias
Great Ormond Street Hospital for Children NHS Foundation Trust: Information for Families Bladder exstrophy and epispadias This leaflet explains about bladder exstrophy and epispadias and what to expect
More informationPelvioureteric junction obstruction of the lower collecting system associated with incomplete ureteral duplication: A case report
Ped Urol Case Rep 2014;1(6):11-15 DOI:10.14534/PUCR.201468061 PUCR Ped Urol Case Rep PEDIATRIC UROLOGY CASE REPORTS ISSN: 2148 2969 Journal homepage: http://www.pediatricurologycasereports.com Pelvioureteric
More informationCystic Renal Disease of Childhood
Acta Radiológica Portuguesa, Vol.XIX, nº 74, pág. 90-107, Abr.-Jun., 2007 Cystic Renal Disease of Childhood Ellen Chung Armed Forces Institute of Pathology Terminology Cyst Polycystic kidney disease ARPKD
More informationSurgical Privileges Form: Pediatric Surgery
Surgical Form: Pediatric Surgery Clinical Request Applicant s Name:. License No. (If Any):... Date:... Scope of Practice:. Facility:.. Place of Work:. CATEGORY I: GENERAL PRIVILEGES 1. Admitting privileges
More informationFunctions of the kidney:
Diseases of renal system : Normal anatomy of renal system : Each human adult kidney weighs about 150 gm, the ureter enters the kidney at the hilum, it dilates into a funnel-shaped cavity, the pelvis, from
More informationRadiological and pathologic findings of fetal renal cystic diseases and associated fetal syndromes: A pictorial review
Radiological and pathologic findings of fetal renal cystic diseases and associated fetal syndromes: A pictorial review Poster No.: C-2835 Congress: ECR 2010 Type: Educational Exhibit Topic: Pediatric Authors:
More informationPediatric Ure-Radiology*
Pediatric Ure-Radiology* HERMAN GROSSMAN, M.D. Professor of Radiology and Pediatrics, Duke University Medical Center, Durham, North Carolina "Routine" radiologic studies do not, often enough, concentrate
More informationSurgical Privileges Form: Pediatric Surgery
Surgical Privileges Form: Pediatric Surgery Clinical Privileges Request Applicant s Name:. License No. (If Any):... Date:.. Scope of Practice:. Facility:.. Place of Work:. Privileges Requested (To be completed
More informationAnterior Urethral Valves
Case Report Anterior Urethral Valves Vidyadhar P. Mali, K. Prabhakaran and Dale S.K.L. Loh, Department of Paediatric Surgery, National University Hospital, Singapore. We studied the clinical presentation
More informationDISCLOSURES THE FETAL GENITOURINARY TRACT LEARNING OBJECTIVES OUTLINE THE NORMAL URINARY TRACT THE NORMAL URINARY TRACT. Normal Fetal Kidneys
THE FETAL GENITOURINARY TRACT Beverly G., MD Emeritus Professor of Radiology Perelman School of Medicine University of Pennsylvania Director of Fetal Imaging The Children s Hospital of Philadelphia Philadelphia,
More informationPROFESSIONAL SKILLS 1 3RD YEAR SEMESTER 6 RADIOGRAPHY. THE URINARY SYSTEM Uz. Fatema shmus aldeen Tel
PROFESSIONAL SKILLS 1 3RD YEAR SEMESTER 6 RADIOGRAPHY THE URINARY SYSTEM Uz. Fatema shmus aldeen Tel. 0925111552 Professional skills-2 THE URINARY SYSTEM The urinary system (review anatomy and physiology)
More informationNephrourological malformations as a radiological challenge
Nephrourological malformations as a radiological challenge Poster No.: C-1572 Congress: ECR 2015 Type: Educational Exhibit Authors: M. VICENTE QUÍLEZ, C. Mejia Gomez, G. Anes, S. González 1 1 2 1 1 1 1
More informationUrinary system Ultrasound (Renal & Urinary bladder)
Urinary system Ultrasound (Renal & Urinary bladder) Edited & Presented by ; Hussien A.B ALI DINAR. Msc.Phd ISRRT Associate Member Lecturer (National university) Reporting Sonographer (PHC) Objective By
More informationMEditorial December Kids Urology
MEditorial December 2012 Kids Urology Most childhood illnesses are in the realm of infections, usually viral, which although sometimes frightening to parents, go away on their own without any major intervention.
More informationTubulointerstitial Renal Disease. Anna Vinnikova, MD Division of Nephrology
Tubulointerstitial Renal Disease Anna Vinnikova, MD Division of Nephrology Part I: Cystic Renal Disease www.pathguy.com Simple cysts Simple cysts May be multiple Usually 1 5cm, may be bigger Translucent,
More informationAcute flank pain in children: Imaging considerations
Acute flank pain in children: Imaging considerations Carlos J. Sivit MD Rainbow Babies and Children s Hospital Case Western Reserve School of Medicine Flank pain Results from distention of ureter or renal
More informationMALE GENITAL SURGICAL PROCEDURES
Male Genital Surgical ProceduresDecember 22, 2015 (effective March 1, 201) PENIS Slit of prepuce (complete care) S5 - newborn... 14.35 S58 - infant... 21.50 S59 - adult or child... 30.25 EXCISION Circumcision
More informationRare Congenital Genitourinary Anomalies
Mohamed A. Baky Fahmy Rare Congenital Genitourinary Anomalies An Illustrated Reference Guide 123 Rare Congenital Genitourinary Anomalies Mohamed A. Baky Fahmy Rare Congenital Genitourinary Anomalies An
More informationUpdate on Pediatric Urology. Prenatal Imaging of the Urinary tract. Prenatal Evaluation: Goals
Update on Pediatric Urology Marc Cendron, M.D., FAAP Boston Childrens Hospital (I have no industry ties or disclosures) Prenatal Imaging of the Urinary tract Ultrasound MRI Timing Follow-up Counseling
More informationUrinary system development. Male ( ) and Female ( ) Reproductive Systems Development
Urinary system development Male ( ) and Female ( ) Reproductive Systems Development Urogenital system develops from mesodermal uro-genital ridge (intermediate mesoderm) development of male and female genital
More informationDevelopment of Urinary System
Jordan University Faculty Of Medicine Development of Urinary System Dr. Ahmed Salman Assistant professor of anatomy & embryology Development of the upper urinary system It is developed from the intraembryonic
More informationPEDIATRIC UROLOGY. What we do When to refer. Naida Kalloo, MD
PEDIATRIC UROLOGY What we do When to refer Naida Kalloo, MD June 20, 2017 Common anatomic problems managed by Pediatric Urology Inguinal Hernias and Hydroceles Undescended testes and Retractile testes
More informationDevelopment of Urinary System
Jordan University Faculty Of Medicine Development of Urinary System DR. AHMED SALMAN ASSISTANT PROFESSOR OF ANATOMY & EMBRYOLOGY Development of The kidney Dr Ahmed Salman Development of the upper urinary
More informationUroradiology Tutorial For Medical Students
Uroradiology Tutorial For Medical Students Lesson 3: Cystography & Urethrography Part 1 American Urological Association Introduction Conventional radiography of the urinary tract includes several diagnostic
More information27-Apr-15 1 UAF ANOMALIES OF DEVELOPMENT RENAL SYSTEM - 1 DR. MUHAMMAD TARIQ JAVED UAF UAF
RENAL SYSTEM - 1 DR. MUHAMMAD TARIQ JAVED Professor, Department of Pathology, Faculty of Veterinary Science, University of Agriculture, Faisalabad, Pakistan. Email: mtjaved@uaf.edu.pk RENAL AGENESIS Renal
More informationSupplemental Information
ARTICLE Supplemental Information SUPPLEMENTAL TABLE 6 Mosaic and Partial Trisomies Thirty-eight VLBW infants were identified with T13, of whom 2 had mosaic T13. T18 was reported for 128 infants, of whom
More informationISUOG Basic Training. Distinguishing between Normal & Abnormal Appearances of the Urinary Tract. Seshadri Suresh, India
ISUOG Basic Training Distinguishing between Normal & Abnormal Appearances of the Urinary Tract Seshadri Suresh, India Learning objectives 13 & 14 At the end of the lecture you will be able to: describe
More informationMidgut. Over its entire length the midgut is supplied by the superior mesenteric artery
Gi Embryology 3 Midgut the midgut is suspended from the dorsal abdominal wall by a short mesentery and communicates with the yolk sac by way of the vitelline duct or yolk stalk Over its entire length the
More informationInformation for Patients
Information for Patients Congenital Malformation in the Urinary Tract: Ureteral Duplication, Ureterocele, and Ectopic Ureter English Table of contents Ureteral Duplication... 3 Symptoms and Diagnosis...
More informationUTI are the most common genitourinary disease of childhood. The prevalence of UTI at all ages is girls and 1% of boys.
UTI are the most common genitourinary disease of childhood. The prevalence of UTI at all ages is girls and 1% of boys. 1-3% of Below 1 yr. male: female ratio is 4:1 especially among uncircumcised males,
More informationW.S. O University of Hong Kong
W.S. O University of Hong Kong Development of the Genital System 1. Sexual differentiation 2. Differentiation of the gonads a. Germ cells extragonadal in origin b. Genital ridge intermediate mesoderm consisting
More information9. Renal duplication. Essentials in Pediatric Urology, 2012: ISBN: Editor: George Sakellaris
Research Signpost 37/661 (2), Fort P.O. Trivandrum-695 023 Kerala, India Essentials in Pediatric Urology, 2012: 89-94 ISBN: 978-81-308-0511-5 Editor: George Sakellaris 9. Renal duplication Consultant Pediatric
More informationForeword: Our Kidneys: A Lot Is Riding on Their Shoulders. Preface: Renal and Urologic Abnormalities in the Perinatal Period
Renal and Urologic Issues Foreword: Our Kidneys: A Lot Is Riding on Their Shoulders Lucky Jain xv Preface: Renal and Urologic Abnormalities in the Perinatal Period Michelle N. Rheault and Larry A. Greenbaum
More informationUrogenital Pathologies in Children Revisited
Urogenital Pathologies in Children Revisited 7 Jeanne S. Chow and Annemieke S. Littooij Learning Objectives To describe the normal findings of the pediatric urogenital tract To list the potential causes
More informationCODING COMPANION. Urology/Nephrology A comprehensive illustrated guide to coding and reimbursement. Sample page
Urology/Nephrology A comprehensive illustrated guide to coding and reimbursement 2020 CODING COANION Power up your coding optum360coding.com Contents Getting Started with Coding Companion...i Resequencing
More informationSURGICAL PROCEDURES OPERATIONS ON THE UROGENITAL SYSTEM
KIDNEYS AND PERINEPHRUM 1. No additional claim should be made for nephroscopy when done at the time of pyelolithotomy or nephrolithotomy. 2. In a routine surgical approach to the kidney and related procedures,
More informationScrotal pain and Swelling
Scrotal pain and Swelling Color index : Important Further explanation Done By: Nada Alamri Editing link Acute Scrotal Pain DDx: 1) Testicular torsion : Twisting and strangulation of the testicle on the
More informationUnilateral supernumerary kidney with contra lateral hydronephrosis a rare case report
Unilateral supernumerary kidney with contra lateral hydronephrosis a rare case report Ezzat Khalda, Gyanendra Narain Singh, Ashok Kumar Mandal, Rajiv Kumar Department of Radiodiagnosis, Patna Medical College,
More informationRenal Disease. Please refer to the assignment page Three online modules TBLs
Renal Disease Please refer to the assignment page Three online modules TBLs 1 Renal Embryology 2 Lab Tests UA CBC Enzymes Creatinine Creatinine clearance Ammonia Abs C Bx 3 BUN Creatinine Creatinine Clearance
More informationDevelopment of the Urinary System
Development of the Urinary System ## every things is written in this sheet so u don t have to go back to the slide. ## I write everything and I hope everything will be clear,, if some note doesn t clear
More informationCase Report Symptomatic Infundibulopelvic Dysgenesis in an Adolescent
Case Reports in Urology Volume 2015, Article ID 307319, 4 pages http://dx.doi.org/10.1155/2015/307319 Case Report Symptomatic Infundibulopelvic Dysgenesis in an Adolescent Daniel Pitts, 1 David Chalmers,
More informationCONGENITAL ANTERIOR URETHRAL DIVERTICULUM
CONGENITAL ANTERIOR URETHRAL DIVERTICULUM W Y Cheong, H K Cheng, K P Tan SYNOPSIS We report the first documented case in Singapore of a congenital saccular anterior urethral diverticulum causing bladder
More informationDr. Najla a Aldaoud. Omar Ayman Khasawneh
Pathology 1 Congenital & Cystic diseases of the kidney Dr. Najla a Aldaoud Omar Ayman Khasawneh 1 P a g e Slides are included بسم هللا الرحمن الرحيم Today is our first pathology lectures, Dr Najla' will
More informationFind Medical Solutions to Your Problems HYDRONEPHROSIS. (Distension of Renal Calyces & Pelvis)
HYDRONEPHROSIS (Distension of Renal Calyces & Pelvis) Hydronephrosis is the distension of the renal calyces and pelvis due to accumulation of the urine as a result of the obstruction to the outflow of
More informationSpectrum of Micturating Cystourethrogram Revisited: A Pictorial Assay
603 International Journal of Collaborative Research on Internal Medicine & Public Health Spectrum of Micturating Cystourethrogram Revisited: A Pictorial Assay Abhinav Jain 1, Vivek Setia 1, Shweta Agnihotri
More informationSexual differentiation:
Abnormal Development of Female Genitalia Dr. Maryam Fetal development of gonads, external genitalia, Mullerian ducts and Wolffian ducts can be disrupted at a variety of points, leading to a wide range
More information