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Published on: October 12, 2017
[Congenital urinary tract diverticula in children]
1Pavlov Ryazan State Medical University, Ryazan, Russia.
Insights
Congenital urinary tract diverticula are rare in children but can cause pain and urinary changes. Surgical intervention, such as resection, is an effective treatment for these conditions.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
Background:
- Congenital urinary tract diverticula are uncommon pediatric conditions.
- Symptoms can be vague, including abdominal pain and dysuria.
Purpose of the Study:
- To investigate the clinical presentation, diagnostic methods, and treatment outcomes of congenital urinary tract diverticula in children.
Main Methods:
- Retrospective analysis of 14 pediatric patients (<17 years) with congenital urinary tract diverticula.
- Data included medical history, physical examination, laboratory results, imaging (X-ray, CT, ultrasound), cystoscopy, ureteral catheterization, and surgical specimen analysis.
Main Results:
- Diverticula identified in the urethra (6), bladder (7), and ureter (1).
- Radiological and endoscopic evaluations were key diagnostic tools.
- Surgical treatments (subtotal resection, diverticulectomy) were employed.
Conclusions:
- Congenital urinary tract diverticula require a comprehensive urological workup for diagnosis.
- Surgical management demonstrated favorable outcomes in all cases.
- Early diagnosis and intervention are crucial for successful treatment.
Objective:
To study symptoms, diagnosis and treatment of congenital urinary tract diverticula in children.
Material And Methods:
There were 14 children younger 17 years with congenital urinary tract diverticula. We analyzed anamnestic, physical and laboratory data, results of X-ray and other urological diagnostic procedures including CT, ultrasound, cystoscopy and catheterization of ureters, morphological examination of surgical specimens. Three clinical cases are presented.
Results:
Congenital urethral diverticulum was diagnosed in 6 children, bladder - in 7, ureter - in 1 case. X-ray urological methods and ureterocystoscopy were crucial in diagnosis. Surgical treatment of urinary tract diverticula (subtotal resection and diverticulectomy) is a radical method in childhood.
Conclusion:
Congenital urinary tract diverticula in childhood are rare. Vague abdominal pain, pain when urinating, changes in urine tests are the main symptoms of disease. Diagnosis of congenital urinary tract diverticula involves complete urological examination. Surgical treatment was favorable in all children.
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