By Laurence S. Baskin MD FAAP FACS, Barry A. Kogan MD FAAP FACS
Updated and increased for its moment version, this guide is an obtainable consultant to the prognosis and therapy of urologic problems in babies, little ones, and youngsters. It covers the entire diversity of pediatric urologic difficulties in an easy-to-use define layout with a variety of illustrations and tables.
This version contains new chapters on laparoscopy in pediatric urology, activities concepts for kids with solitary kidneys and different genitourinary anomalies, getting ready pediatric sufferers for anesthesia, and remedy of urinary incontinence and constipation. a brand new appendix covers on-line pediatric urology techniques. The up-to-date Pediatric Urology Database bankruptcy presents a brief reference on very important medicine issues.
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Extra info for Handbook of Pediatric Urology
Although ultrasonography is noninvasive, this technique commonly produces false-negative and false-positive results, which preclude its clinical usefulness. 3. Gonadal arteriography, contrast peritoneography, and gonadal venography have all been advocated but have fallen into disuse because they are invasive and have significant false-negative and false-positive rates. 4. cls T1: FCH January 5, 2005 5:24 Undescended Testes radiation exposure and failure to find a testis does not preclude surgery.
C. Prophylactic doses of antibiotics (see Chapter 32) such as cotrimoxazole (Bactrim) or nitrofurantoin are typically prescribed while the stent is in place to keep the urine sterile. D. Postoperative symptoms include 1. Bladder spasms, which can be treated with oxybutynin (Ditropan) 2. Urinary retention (uncommon); secondary to a stent malfunction such as blockage or kinking 3. cls T1: FCH December 31, 2004 14:7 Hypospadias 19 E. Dressings The most common dressing used after hypospadias is a plastic dressing such as Tegaderm, which is used with gauze to sandwich the penis onto the abdomen and is typically removed at home 2 to 3 days after surgery.
6. Another helpful maneuver to differentiate a retractile testis from a cryptorchid testis is to place the child in a frog-leg position and have him press the soles of his feet together. Having an older child squat often makes it possible to palpate a retractile testis. 7. It is unreliable to have the family check for the testis in the bath or other circumstances. 8. Repetitive examination or referral to an experienced examiner can avoid additional and invasive diagnostic procedures as well as reduce confusion or differentiation between an undescended (and in some cases, nonpalpable) testis with a retractile testis.