The literature reports that approximately 50% of children with a documented urinary tract infection (UTI) will have demonstrable pathology. E. coli bacteria are the main cause of infections in the human urinary tract. They represent opportunistic infections arising from the patient’s own bacterial personal flora. The infecting strains fall into two groups: those causing symptoms […]
Pediatric Urinary Tract Infections
All pediatric patients with a well-documented urinary tract infection (UTI) require urologic evaluation. What constitutes a well-documented UTI? One can minimize potential errors by the following: A. OBTAINING THE SPECIMEN 1. Bag Urines Bag urines are easy and the least invasive but also the LEAST reliable. Reliability may be improved: if the patient is symptomatic […]
Intermittent Self Catheterization
Clean intermittent self catheterization has been widely used for many problems that result in inadequate bladder emptying (e.g, spinal cord injury, closed bladder extrophy, tumors, myelo meningocele). There are several advantages and health benefits to Intermittent Catheterization. It prevents the bladder from becoming overfilled and losing its muscle tone. It eliminates the problem of residual […]
Catheters and X-Rays
Our practice sees many children below the age of 3 months for urological conditions, either picked up in utero or in neonates who have been treated for a urinary tract infection. The studies which usually generate some debate from parents are those studies requiring catheterization of the bladder, such as the cystourethrograms (either the contrast […]
Pediatric Anesthesia
Local anesthesia and/or sedation for ambulatory surgical procedures are generally not used in children. General anesthesia allows for a much more controlled approach to the child’s well-being during his or her surgery. Children tolerate general anesthesia as well as adults and, with few exceptions, pediatric urologic surgery is best performed under general anesthesia. Healthy full-term […]
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