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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Main Author: MacKinnon A
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2005-01-01
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
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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.
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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