By Ahmed H. Al-Salem
This e-book is key for physicians taking care of younger sufferers with urological stipulations, as a short reference ebook that's effortless to learn and well-illustrated. Pediatric urological stipulations are really universal, and babies and kids are obvious every day with urological difficulties both in clinics or in hospitals.
This e-book comes in handy to common surgeons, pediatricians, pediatric surgeons, fellows, citizens, normal physicians and kinfolk physicians, clinical scholars and nurses. The Editor has won adventure within the analysis and administration of varied urological difficulties in babies and youngsters, operating in busy health facility over the past 25 years.
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Extra resources for An Illustrated Guide to Pediatric Urology
Bilateral atresia is incompatible with life. – Unilateral atresia is usually asymptomatic but may cause hypertension. • Duplication of the ureter: – This is one of the most common congenital malformations of the urinary tract. – Duplicated ureter or Duplex Collecting System is a congenital condition in which the ureteric bud, the embryological origin of the ureter, splits (or arises twice), resulting in two ureters draining a single kidney. – It is the most common renal abnormality, occurring in approximately 1 % of the population.
Renal cell carcinoma, transitional cell carcinoma, oncocytoma and carcinoid have all been described. The diagnosis of horseshoe kidney can be confirmed by ultrasound, intravenous urography and CT-scan/MRI. Horseshoe kidneys in themselves do not require any treatment, and patients have normal life expectancy. It is however important to recognize their presence prior to abdominal surgery or renal intervention for one of their many complications. 9 Crossed Fused Renal Ectopia • The second most common fusion anomaly is crossed renal ectopia.
12 Intraoperative photograph showing an atrophic kidney with dilated refluxing duplex system. Note the markedly dilated duplex ureter – Acute, unilateral obstruction can cause hypertension via activation of the reninangiotensin system. – The elevation in blood pressure is probably volume mediated as renin secretion is usually normal in patients with bilateral urinary tract obstruction or obstruction of a solitary functioning kidney. The elevation in blood pressure resolves with the diuresis following correction of the obstruction.