By Ahmed H. Al-Salem
This ebook is essential 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 rather universal, and babies and kids are obvious every single day with urological difficulties both in clinics or in hospitals.
This e-book turns out to be useful to normal surgeons, pediatricians, pediatric surgeons, fellows, citizens, normal physicians and kinfolk physicians, clinical scholars and nurses. The Editor has received event within the prognosis and administration of varied urological difficulties in babies and kids, operating in busy clinic during the last 25 years.
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Extra info for An Illustrated Guide to Pediatric Urology
Ureterocele (Figs. 29): – This is a sacculation of the bladder end of the ureter that can occur either in the bladder or ectopically. – It is much more common in girls than in boys. – In 10 % of cases it is bilateral. – It may be asymptomatic or cause obstruction, incontinence or infection. 1 20 Congenital Urological Malformations Figs. 25 Intravenous urography showing partial duplication of the right ureter COMPLETE DUPLICATION PARTIAL DUPLICATION Figs. 27 Intraoperative photographs showing partial and complete duplication of the ureters • Ectopic ureteral orifice: – This usually occurs with ureterocele and duplication of the ureter.
This location, close to the insertion of the ureter into the bladder, is important because large diverticula can impinge on or distort the ureteral orifices. Congenital Urological Malformations sinus for a small distance. Intraoperatively, this was found to be a urachal sinus with the distal part obliterated and connected to the bladder – Diverticular size can vary greatly, with some attaining a size equal to or greater than the volume of the bladder. – Diverticula can be wideor narrow-mouthed.
The two halves of the bladder are on either side of the midline, with the corresponding ipsilateral ureter draining each bladder half. – Associated anomalies occur more commonly in those with complete bladder duplication. – These anomalies include: • Duplication of the penis, vagina, uterus, lumbar vertebrae, and hindgut. • In addition, fistulas may be present between the rectum, vagina, and urethra. • Bladder septation: – Bladder septation anomalies are rare. – Fibromuscular or mucosa septations divide the bladder into equal or unequal portions.