Pedi gu review ureteral anomalies i

URETERAL ANOMALIES Pediatric GU Review UCSD Pediatric Urology George Chiang MD Sara Marietti MD Outlined from The Kelalis-King-Belman Textbook of Clinical Pediatric Urology 2007 (not for reproduction, distribution, or sale without consent)

URETEROCELES Demographics ,[object Object],[object Object]

URETEROCELES Diagnosis ,[object Object],[object Object],[object Object],[object Object]

URETEROCELES Diagnosis ,[object Object],[object Object],[object Object]

URETEROCELES Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

URETEROCELES Treatment ,[object Object],[object Object],[object Object]

URETEROCELES Non-operative managment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

URETEROCELES Non-operative management ,[object Object],[object Object],[object Object]

Ureteroceles : Endoscopic Managment ,[object Object],[object Object],[object Object]

Endoscopic managment ,[object Object],[object Object]

Endoscopic Management : Intravesical ureterocele ,[object Object],[object Object],[object Object]

Endoscopic management : Extravesical Ureterocele ,[object Object],[object Object],[object Object]

Extravesical ureterocele ,[object Object],[object Object],[object Object],[object Object]

Extravesical ureterocele ,[object Object]

Extravesical Ureterocele ,[object Object],[object Object],[object Object]

Upper Tract Approach ,[object Object],[object Object],[object Object],[object Object]

Upper Tract Approach ,[object Object],[object Object],[object Object]

Upper Tract Approach ,[object Object],[object Object]

Complete Reconstruction ,[object Object],[object Object],[object Object]

Complete Reconstruction ,[object Object],[object Object],[object Object],[object Object]

Complete Reconstruction ,[object Object],[object Object]

Megaureter ,[object Object],King LR: Megaloureter: Definition, diagnosis and management. J Urol 1980, 123, 222.

Megaureter ,[object Object],[object Object],[object Object],[object Object],A Megaureter with normal muscle cells. B, Megaureter containing separated muscle cells and ruptured nexus. C, Megaureter containing excessive collagen and ground substance with dying muscle cells.

Megaureter ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Megaureter ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],McLellan DL, Retik A., Peters C., Bauer S., Atala A., Mandell J. Rate and predictors of spontaneous resolution of prenatally diagnosed primary nonrefluxing megaureter . J Urol. 2002 Nov;168(5):2177-80

Megaureter ,[object Object],[object Object],[object Object]

Megaureter ,[object Object],[object Object],[object Object],[object Object]

Megaureter ,[object Object],[object Object],[object Object],Defoor W et al. Results of tapered ureteral reimplantation for primary megaureter : Extravesical vs. intravesical approach. J Urol. 172, pp 1640-1643 Oct 2004

Megaureter ,[object Object],Defoor W et al. Results of tapered ureteral reimplantation for primary megaureter : Extravesical vs. intravesical approach. J Urol. 172, pp 1640-1643 Oct 2004

Megaureter ,[object Object],[object Object],Ehrlich RM: The ureteral folding technique for megaureter surgery. J Urol 134:668, 1985 94.6% success 74 megaureters Stent for 4-5 days

Megaureter ,[object Object],[object Object],Starr A: Ureteral plication. A new concept in ureteral tailoring for megaureter. Invest Urol 17:153, 1979 Reduces lumen 50-60% Severely tortuous ureter

Megaureter ,[object Object],[object Object],Hendren WH: Complications of megaureter repair in children . J Urol 113:238, 1975 Lower versus total ureteral reconstruction 41% re-operation

UPJ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

Clinical Presentations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostics ,[object Object],[object Object],[object Object]

Diagnostics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostics ,[object Object],[object Object]

Associated GU Anomalies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

When to Intervene ,[object Object],[object Object],[object Object],[object Object],[object Object]

Postnatal Eval ,[object Object],[object Object],[object Object],[object Object]

Ectopic Ureter ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object]

Associated Anomalies ,[object Object],[object Object],[object Object],[object Object]

Symptoms ,[object Object],[object Object]

Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pedi gu review ureteral anomalies i

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