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Urinary reconstruction (rather than diversion) for continence in difficult pediatric urologic disorders
1Department of Pediatric Urology, Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA.
Seminars in Pediatric Surgery
|February 1, 1996
Summary
Pediatric urinary tract reconstruction enhances children's health but can cause complications. This review examines surgical options for optimal renal preservation, infection control, and continence.
Area of Science:
- Pediatric Urology
- Surgical Reconstruction
- Urinary Tract Function
Background:
- Surgical reconstruction of the pediatric urinary tract is complex but vital for improving children's health and quality of life.
- Reconstructive procedures can lead to adverse sequelae, complicating future treatments and potentially being irreversible.
Purpose of the Study:
- To review surgical alternatives for pediatric urinary tract reconstruction.
- To discuss surgical judgment in applying these alternatives for optimal outcomes.
Main Methods:
- Review of existing literature on pediatric urinary tract reconstruction techniques.
- Analysis of surgical options addressing key components of urinary tract function.
Main Results:
- Multiple surgical alternatives exist for restoring urinary tract function.
- Effective reconstruction requires careful consideration of renal preservation, infection control, and continence.
Conclusions:
- Pediatric urinary tract reconstruction is a successful endeavor with significant potential benefits.
- Understanding and judiciously applying various surgical alternatives are crucial for maximizing functional restoration and minimizing complications.