By Ahmed H. Al-Salem
This e-book is essential for physicians taking care of younger sufferers with urological stipulations, as a brief reference publication that's effortless to learn and well-illustrated. Pediatric urological stipulations are quite universal, and babies and kids are obvious daily with urological difficulties both in clinics or in hospitals.
This booklet turns out to be useful to common surgeons, pediatricians, pediatric surgeons, fellows, citizens, common physicians and relations physicians, scientific scholars and nurses. The Editor has received event within the analysis and administration of assorted urological difficulties in babies and youngsters, operating in busy health center during the last 25 years.
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Additional info for An Illustrated Guide to Pediatric Urology
66 Pelvic ultrasound and micturating cystourethrogram showing congenital bladder diverticulum. Note the narrow neck of the diverticulum 32 – With growth, the pelvis becomes more developed, and the bladder assumes a more pelvic position. – Bladder ears are lateral protrusions of the bladder wall through the internal inguinal ring and into the inguinal canal. – Bladder ears are rarely seen in adults. – Bladder ears are diagnosed using: • Voiding cystourethrography (VCUG) • Intravenous pyelography (IVP) • CT-scan – Bladder ears are best seen when the bladder is filled and distended.
The prognosis of these patients is good and fertility is not affected. • Clitoral hypertrophy (Figs. 91): – Clitoromegaly (or macroclitoris) is an abnormal enlargement of the clitoris. – It is also called clitoromegaly. – It is commonly congenital but can be acquired following the use of anabolic steroids, including testosterone. – Clitoromegaly is commonly caused by fetal exposure to androgens as seen in those with congenital adrenal hyperplasia. 40 Figs. 88 Clinical photographs showing epispadias as part of the epispadias-exstrophy complex.
The two most common sites for congenital urethral stricture are: • The fossa navicularis • The membranous urethra – The effect depends on the severity of the stricture. – Severe strictures can affect the bladder and also lead to hydroureter and hydronephrosis which can damage the kidney from back pressure of urine. • Posterior urethral valves (Figs. 77): – This is a relatively common congenital malformation, – It is seen in male neonates and infants. – Posterior urethral valves are found at the distal prostatic urethra.
An Illustrated Guide to Pediatric Urology by Ahmed H. Al-Salem