Posterior urethral valves: The value of high diversion
The management of posterior urethral valves remains a challenge to the paediatric urologist. Many cases diagnosed early may be managed by endoscopic surgery. However, where there is a gross upper tract dilatation, consideration needs to be given to temporary diversion to allow recovery of renal func...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2005-01-01
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Series: | Journal of Indian Association of Pediatric Surgeons |
Subjects: | |
Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2005;volume=10;issue=3;spage=158;epage=162;aulast=MacKinnon |
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author | MacKinnon A |
author_facet | MacKinnon A |
author_sort | MacKinnon A |
collection | DOAJ |
description | The management of posterior urethral valves remains a challenge to the paediatric urologist. Many cases diagnosed early may be managed by endoscopic surgery. However, where there is a gross upper tract dilatation, consideration needs to be given to temporary diversion to allow recovery of renal function and the elimination of infection. Western literature leans strongly towards nondiversion. However, in those countries, most patients present early, and often by antenatal diagnosis. Countries not having universally, highly developed medical services encounter more of the complicated cases. Evaluation of the role of upper tract diversion in such circumstances has not been conclusively established, but literature review indicates a role in selected cases. |
first_indexed | 2024-12-10T12:16:48Z |
format | Article |
id | doaj.art-d8d56b66237f4bd1aa1911f0af9306b6 |
institution | Directory Open Access Journal |
issn | 0971-9261 |
language | English |
last_indexed | 2024-12-10T12:16:48Z |
publishDate | 2005-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Indian Association of Pediatric Surgeons |
spelling | doaj.art-d8d56b66237f4bd1aa1911f0af9306b62022-12-22T01:49:12ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92612005-01-01103158162Posterior urethral valves: The value of high diversionMacKinnon AThe management of posterior urethral valves remains a challenge to the paediatric urologist. Many cases diagnosed early may be managed by endoscopic surgery. However, where there is a gross upper tract dilatation, consideration needs to be given to temporary diversion to allow recovery of renal function and the elimination of infection. Western literature leans strongly towards nondiversion. However, in those countries, most patients present early, and often by antenatal diagnosis. Countries not having universally, highly developed medical services encounter more of the complicated cases. Evaluation of the role of upper tract diversion in such circumstances has not been conclusively established, but literature review indicates a role in selected cases.http://www.jiaps.com/article.asp?issn=0971-9261;year=2005;volume=10;issue=3;spage=158;epage=162;aulast=MacKinnonPosterior method valuesUreterostomyBladden dyafnnchimi |
spellingShingle | MacKinnon A Posterior urethral valves: The value of high diversion Journal of Indian Association of Pediatric Surgeons Posterior method values Ureterostomy Bladden dyafnnchimi |
title | Posterior urethral valves: The value of high diversion |
title_full | Posterior urethral valves: The value of high diversion |
title_fullStr | Posterior urethral valves: The value of high diversion |
title_full_unstemmed | Posterior urethral valves: The value of high diversion |
title_short | Posterior urethral valves: The value of high diversion |
title_sort | posterior urethral valves the value of high diversion |
topic | Posterior method values Ureterostomy Bladden dyafnnchimi |
url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2005;volume=10;issue=3;spage=158;epage=162;aulast=MacKinnon |
work_keys_str_mv | AT mackinnona posteriorurethralvalvesthevalueofhighdiversion |