Pediatric Urology Flashcards
What is the prepuce?
At birth and in the neonatal period the normal foreskin is non-retraction due to the presence of adhesions between the foreskin and glans.
What is the balanitis?
This is inflammation of the gland penis.
What is the Prothitis?
This is inflammation of the foreskin
What is phimosis?
This is inability to retract the foreskin. Treatment is usually circumcision upon the symptoms and severity
What is paraphimosis?
Prolonged retraction of the foreskin proximal to the glans May allow edema to occur. It may be needs replacement of foreskin or dorsal slit followed by delayed circumcision
How does UTI present in children?what is the causative organism? And when to do further testing or treatment?
-E.coli accounts of 80% of cases
-A single isolated UTI (in girls) maybe managed by watchful and see.
-Two UTI’sin female (or 1 in male) in a 6 months period should require further testing.
What is vesicoureteric Reflux and what are the investigations?
Definition: it is abnormal backflip of urine front he bladder into the ureter and kidney which may cause renal scaring and recurrent UTI.
Investigations:
-Micturition customer-urethrogram
-US
-DTPA/DMSA for renal scaring
What is posterior uretheral valve and what are their investigations and treatment?
-Definition: Posterior urethral valves are the commonest cause of infravesical outflow obstruction in males, the child may develop renal parenchyma damage.
-Investigations:
U/S shows bilateral hydronephrosis and hydroureter
-Treatment:
Bladder catheterization and endoscopic Val irony in the definitive treatment
What is the PUJO (Pelvi-ureteric junction obstruction and what are it’s investigations?
Definition: dilated renal pelvis and clay ail system and normal ureter. (It may cause renal scarring and recurrent UTI.
Investigations:
-IVP (intravenous pyelogram)
-US
-DTPA for renal scarring
