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[Subvesical urinary track obstruction in children as the cause of chronic renal failure]
Insights
Infantile stenosis of the vesical cervix is a rare condition causing urinary issues and potential kidney failure. Early diagnosis and surgical intervention are crucial for managing this disease in children.
Area of Science:
- Pediatric Urology
- Nephrology
Context:
- Infantile stenosis of the vesical cervix is a rare condition with debated etiology and pathogenesis.
- Untreated, it can progress to severe complications like uremia.
Purpose:
- To discuss the clinical presentation, course, and diagnostic methods of infantile stenosis of the vesical cervix.
- To emphasize the importance of timely surgical intervention.
Summary:
- Presents findings from 8 pediatric patients with infantile stenosis of the vesical cervix.
- Common symptoms include voiding disturbances (e.g., bilateral voiding, weak stream), recurrent abdominal pain, enuresis, growth issues, and hematuria.
- Diagnosis relies on micturition assessment, micturition cystourethrography, and urethrocystoscopy.
Impact:
- Highlights the need for prompt diagnosis and surgical treatment, even in cases with advanced renal insufficiency.
- Underscores the potential for successful management and prevention of severe renal complications in affected children.
Abstract:
The infantile stenosis of the vesical cervix is a rare disease, etiology and pathogenesis of which are controversial. If it is not treated it leads to uraemia. On the basis of a clinical material consisting of 8 patients clinic and course of the disease are discussed. In the children with stenosis of the vesical cervix observed by us disturbances of the miction (bilateral mictions, thin urinary stream), relapsing abdominal pain, enuresis, minor growth and haematuria were in the first place. We got clearness on the diagnosis by judging the mode of miction, by means of miction cystourethrography and by urethrocystoscopy. Even in stenosis of the vesical cervix with advanced renal insufficiency also in childhood an operation should be performed.