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Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl.
Urol Case Rep
January 2025
Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
We present the case of a 12-year-old girl with vesicoureteral reflux (VUR) of a solitary kidney treated using a modified hydrodistention implantation technique. A needle was set parallel to the ureteral guidewire inserted through the ureteral orifice before performing injections to correct VUR. Multi-site tandem injections were administered along the wire, which confirmed the direction and length of the ureteral tunnel.
View Article and Find Full Text PDFPrune belly syndrome (PBS), or Eagle-Barrett syndrome, is a rare congenital disorder marked by abdominal wall muscle deficiency, urinary tract anomalies, and cryptorchidism, causing significant abdominal wall laxity and functional impairment. This case report discusses an innovative approach to abdominal wall reconstruction in a 19-year-old male patient with PBS and associated conditions, including chronic renal failure and spina bifida. Previously, he underwent distal ureterectomy and vesicoureteral reimplantation at the age of two years to correct urinary tract dilation and bilateral orchiopexy.
View Article and Find Full Text PDFAcute pyelonephritis in adults. Should we adopt the pediatric guidelines?
Urologia
December 2024
Department of Urology & Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel.
Purpose: There are no guidelines, what recommend pro or against cystography for identification of VUR for adults who suffer from first episode of pyelonephritis. The aim of this study was to look at incidence of VUR in adults with first episode of pyelonephritis, and to highlight recommendations for possible reflux investigation in these patients.
Methods: We have performed retrospective review of all patients who admitted at our department over the last decade with the working diagnosis of acute pyelonephritis.
Evaluation and Management of Urological Complications Following Pediatric Kidney Transplantation: Experience from a Single Tertiary Center.
Medicina (Kaunas)
October 2024
Pediatric Nephrology Unit, Department of Women's and Children's Health, Padua University Hospital, 35127 Padua, Italy.
: Kidney transplantation is the treatment of choice for children with end-stage renal disease (ESRD), but its outcome can be affected by urological complications, with incidence rates of 2.5-25%. The aim of this study was to evaluate the occurrence of urological complications and their management in a cohort of pediatric kidney transplant recipients.
View Article and Find Full Text PDFFeatures of Kidney Transplant in Pediatric Recipients: Experience of a Single Center.
Exp Clin Transplant
October 2024
From the Department of Transplantology, Republican Research Center of Emergency Medicine, Center for the Development of Professional Qualification of Medical Workers, Tashkent, Uzbekistan.
Article Synopsis
- The study focuses on the postoperative management and complications faced by 29 children, aged 9 to 18, who received kidney transplants due to congenital kidney and urinary tract abnormalities.
- Early postoperative complications occurred in 20.6% of the patients, including issues like delayed graft function and hematomas, while 34.4% experienced late complications such as urinary tract infections and reflux.
- Results showed that while most complications were manageable, one patient faced chronic kidney rejection due to not adhering to their post-transplant treatment plan, necessitating another transplant.
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