By Ahmed H. Al-Salem
This publication is essential for physicians taking care of younger sufferers with urological stipulations, as a brief reference ebook that's effortless to learn and well-illustrated. Pediatric urological stipulations are rather universal, and babies and youngsters are noticeable daily with urological difficulties both in clinics or in hospitals.
This publication turns out to be useful to common surgeons, pediatricians, pediatric surgeons, fellows, citizens, common physicians and kin physicians, clinical scholars and nurses. The Editor has received adventure within the prognosis and administration of assorted urological difficulties in babies and kids, operating in busy clinic during the last 25 years.
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17 • The incidence of renal ectopia in postmortem studies varies from 1 in 500 to 1 in 1,290. • It occurs slightly more frequently on the left side. • 10 % of cases are bilateral. • It affects males and females equally. • It is prone to obstruction and infection. • Ectopic kidney is also more prone to trauma. • Around 50 % remain unrecognized throughout life. • Ectopic kidneys lie outside the renal fossa and may be located in: – The pelvis – The iliac fossa – The chest – Crossed • Simple renal ectopia refers to a kidney in the ipsilateral retroperitoneal space and is most commonly located in the pelvis but may be opposite the sacrum or below the aortic bifurcation.
15 • • • • • • • • – Ureteral duplication is reported to occur in 10 % – VUR is reported to occur in 10–80 %. – Multicystic dysplasia and autosomal dominant polycystic kidney disease has also been reported. – Horseshoe kidney is present in 21 % of patients with trisomy 18 and in 7 % in those with Turner’s syndrome. – Abdominal aortic aneurysms have been reported later in life . – Hypospadias and cryptorchidism occurs in 4 % of males and bicornate uterus or septate vagina in 7 % of females. Outcomes depend on associated urological problems as horseshoe kidneys are usually asymptomatic.
Krishnan A, de Souza A, Konijeti R, et al. The anatomy and embryology of posterior urethral valves. J Urol. 2006;175:1214–20. 12. Nakai H, Asanuma H, Shishido S, Kitahara S, Yasuda K. Changing concepts in urological management of the congenital anomalies of kidney and urinary tract, CAKUT. Pediatr Int. 2003;45(5):634–41. 13. Piscione TD, Rosenblum ND. The malformed kidney: disruption of glomerular and tubular development. Clin Genet. 1999;56:341. 14. Sanna-Cherchi S, Caridi G, Weng PL, et al. Genetic approaches to human renal agenesis/hypoplasia and dysplasia.