Management Of Antenatally Diagnosed Hydronephrosis In A Child Presenting Later With Urinary Tract Infections: A Case Report

Preservation of renal function remains the main goal of follow-up of a child with antenatal hydronephrosis. The question remains as to how long we need to follow these children. Even after several decades, the indications and timing of surgery in a newborn with hydronephrosis are still debated. Herewith, we report the case of a 9-year-old male child who was diagnosed to have hydronephrosis on antenatal scans and was managed conservatively postnatally who presented after 9 years with recurrent urinary tract infections.

An Unusual Presentation Of Anterior Urethral Valve In A Child With Diabetes Mellitus

Anterior urethral valve (AUV) is identified to be a common source of congenital obstructive lesion of the anterior urethra. Up to 80% of children with AUVs develop bladder dysfunction, bladder instability, hyperreflexia, diminished compliance and capacity. We report a case of an unusual presentation of a child with AUV and diabetes mellitus.

Antenatally Diagnosed Upper Moiety Hydronephrosis In A Child With Ectopic Ureter: A Case Report

An ectopic ureter is any ureter, single or duplex, that does not enter the trigonal area of the bladder. In a duplex system, the ectopic ureter is inevitably the upper pole ureter. In males, the ectopic ureter always enters the urogenital system above the external sphincter. The majority of ectopic ureters are detected through prenatal ultrasound imaging, even if the specific diagnosis is not made until after birth. Radionuclide renal imaging remains the gold standard for renal functional assessment, and this is usually best provided by dimercaptosuccinic acid imaging. The goals of therapy are the preservation of renal function; elimination of infection, obstruction, and reflux; and maintenance of urinary continence. We report a case of a 6-month-old male child presenting with urinary tract infection. The child was diagnosed to have had a cystic dilatation of the right upper moiety on antenatal ultrasonography imaging

Single stage: dorsolateral onlay buccal mucosal urethroplasty for long anterior urethral strictures using perineal route

ABSTRACT Objective To assess the outcome of single stage dorsolateral onlay buccal mucosal urethroplasty for long anterior urethral strictures (>4cm long) using a perineal incision. Materials and Methods From August 2010 to August 2013, 20 patients underwent BMG urethroplasty. The cause of stricture was Lichen sclerosis in 12 cases (60%), Instrumentation in 5 cases (25%), and unknown in 3 cases (15%). Strictures were approached through a perineal skin incision and penis was invaginated into it to access the entire urethra. All the grafts were placed dorsolaterally, preserving the bulbospongiosus muscle, central tendon of perineum and one-sided attachement of corpus spongiosum. Procedure was considered to be failure if the patient required instrumentation postoperatively. Results Mean stricture length was 8.5cm (range 4 to 12cm). Mean follow-up was 22.7 months (range 12 to 36 months). Overall success rate was 85%. There were 3 failures (meatal stenosis in 1, proximal stricture in 1 and whole length recurrent stricture in 1). Other complications included wound infection, urethrocutaneous fistula, brownish discharge per urethra and scrotal oedema. Conclusion Dorsolateral buccal mucosal urethroplasty for long anterior urethral strictures using a single perineal incision is simple, safe and easily reproducible by urologists with a good outcome.