Showing papers on "Voiding cystourethrogram published in 1983"
TL;DR: Evaluation of initial results indicates that the Cohen cross-trigonal ureteroneocystotomy is a safe and effective antireflux procedure.
19 citations
TL;DR: In the male patient with vague and unexplained lower urinary tract symptoms, extravesical ureteral ectopia must be considered, especially in prepubertal males with epididymitis and a solitary kidney.
8 citations
TL;DR: The management of a girl with bilateral cecoureteroceles who presented as a newborn with urinary retention and sepsis is described.
6 citations
TL;DR: A fifty-three-year-old man presented with the chief complaint of dysuria and frequency and was grossly obese with a huge fat apron, and underwent repair of the inguinal hernia with replacement of the sigmoid colon intraperitoneally.
5 citations
TL;DR: It is suggested that amongst all who have care of children in the tropics, increased awareness of the varied clinical manifestations of PUV would improve prognosis.
Abstract: SUMMARYThere is scanty reference in the literature from the tropics, especially from Africa, to posterior urethral valves (PUV). The condition is not uncommon in Africans. Forty-five patients seen during a period of 10 years at the Ahmadu Bello University Hospital, Zaria, Nigeria have been analysed in order to discover any problems this abnormality may pose that are peculiar to the developing countries of the tropics. Two-thirds of the patients were under one year of age when first seen, one-third of them being under one month. About a quarter had no urological symptoms at presentation. Most of these were neonates and infants often critically ill due to sepsis and uraemia. These non-urological presentations caused delay in diagnosis and referral with detrimental effects on prognosis. However, the diagnosis could be made on clinical examination by demonstrating a palpable bladder and/or renal masses. Voiding cystourethrogram confirmed the diagnosis when carried out carefully, and required no specialized eq...
3 citations
TL;DR: Urogenital tract infections in the pediatric and adolescent populations vary depending on both age and sex, and male adolescent boys who present with cystitis or pyelonephritis most likely has a sexually transmitted disease.
Abstract: Urogenital tract infections in the pediatric and adolescent populations vary depending on both age and sex. Pediatricians are quite familiar with the infant with a bacterial urinary tract infection who had a congenital anatomic anomaly or the pre-school-aged or adolescent girl with cystitis. Similarly, adolescent boys who present with cystitis or pyelonephritis will almost always have one of several predisposing conditions such as a congenital anomaly, a neurogenic bladder, an obvious systemic disease such as diabetes mellitus, or an immunodeficiency disorder. The urinary tract infection that occurs under these circumstances is managed in the traditional manner by obtaining a specimen for culture and sensitivity testing and tailoring antibiotic and other appropriate therapy according to the patient9s clinical status and the organism involved. The male adolescent with pyuria and/or dysuria without any of these predisposing conditions most likely has a sexually transmitted disease. If, however, a documented bacterial urinary tract infection is found, the patient should have a full urologic evaluation including an intravenous pyelogram, voiding cystourethrogram, and possibly cystoscopy, if these procedures have not been previously performed. Cystitis and pyelonephritis that occur without underlying problems in male adolescents are quite rare and will not be discussed further in this review. Between 1971 and 1979 sexual activity among adolescent girls aged 15 to 19 years increased by 66%, with 38% having had a first sexual experience by age 16 years.1
2 citations
TL;DR: 2 cases of lifelong intermittent lower abdominal pain associated with vesicoureteral reflux without damage to the upper urinary tracts are reported.
1 Jan 1983
TL;DR: Voiding cystourethrography is a fundamental urodynamic investigation; it provides clinically important information relating to sphincter function, the precise location of a urodynamically proved bladder outlet obstruction, and the mobility of the bladder base and urethra.
Abstract: Voiding cystourethrography is a fundamental urodynamic investigation; it provides clinically important information relating to sphincter function, the precise location of a urodynamically proved bladder outlet obstruction, and the mobility of the bladder base and urethra. These can be obtained in no other way, and certainly simple pressure-profile records and synchronous electromyographic (EMG) studies are poor substitutes for it, except possibly in disorders associated with generalized neuropathy. However, as with most other urodynamic investigations, the clinical information that can be obtained from a voiding cystourethrogram is directly related to the urodynamic expertise and experience of the clinician performing it.