Problems in the management of bladder neck obstruction in children.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to E BURNS.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Diseases that cause obstruction to the passage of urine in children almost always are owing to developmental defects. The most common site of obstruction in children, both male and female, is the neck of the bladder. The importance of recognizing these conditions in the early stage of their development is emphasized by the fact that renal damage that may lead to failure occurs much more rapidly in children than in adults. Symptoms are often insignificant. Recurrent or chronic infection in the urine should always be regarded as a warning sign. Investigation of the urinary tract in children is relatively easy, and with the improved methods of treatment now available, cure can be effected in virtually all cases in which irreversible changes in the kidneys have not occurred at the time of recognition.
Cure is obtained in about 20 per cent of patients with unilateral renal disease and hypertension who have nephrectomy primarily for relief of hypertension. Carrying out urologic studies on a larger number of hypertensive patients might result in tracing the condition to renal disease in more cases. Renal angiography more accurately indicates renal origin of hypertension than any other diagnostic study. When it can reasonably be established that hypertension is of renal origin, nephrectomy should be performed unless there is some general contraindication to an operative procedure.
Explore the source record for details and available documents.