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Atresia of Urethra
Urethral atresia

Presentation

On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are [icd10data.com]

Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson present an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient. [books.google.com]

All patients were males (46 XY) and presented at birth or in early infancy. RESULTS: Oligohydramnios was demonstrated in 4 of the 6 patients (67%). [ncbi.nlm.nih.gov]

All patients were males (46 XY) and presented at birth or in early infancy. Results: Oligohydramnios was demonstrated in 4 of the 6 patients (67%). [pubmed.ncbi.nlm.nih.gov]

If there is a TOF present, saliva ± gastric secretions can pass directly to the bronchial tree. H-type fistulae usually present later in infancy as there is no 'blind end' to the oesophagus and the child is able to feed. [patient.info]

Treatment

Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]

Endoscopic treatment is the best treatment but some newborns may have to wait for this procedure until they have grown. [chw.org]

Treatment consists of a meatotomy, which required an anesthetic procedure. [pediatricurologybook.com]

Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery. [icdlist.com]

Prognosis

What is my baby's long-term prognosis? Long-term prognosis for the baby who is diagnosed with bladder outlet obstruction before birth and who has adequate lung development, is improving every day. [chw.org]

Posterior urethral valves are seen exclusively in males and may cause total, intermittent, or partial obstruction, with variable prognosis. [slideshare.net]

Oligohydramnios/anhydramnios associated with urethral obstruction carries a grim prognosis, and when it is identified in the early to middle stages of gestation, mortality approaches 95%. [7] Prognostic indicators such as bladder aspiration, evaluation [emedicine.medscape.com]

If renal function is preserved, the prognosis is good when early surgery is performed. The possibility of in utero treatment is reserved at rare selected cases and in highly specialized Centers. References 1. Sonek J. [giog.it]

Bladder exstrophy associated with complete urethral duplication: A rare malformation with excellent prognosis. J Urol. 2001;165 (6 Pt 2): 2434-2437. Gupta NP, Ansari MS, Aron M, Mandal S. [appliedradiology.com]

Etiology

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

Exact etiology unknown, most likely an embryonal malformation or acquired lesion Approx. 10–35% of cases involve additional anatomical malformations (e.g., situs inversus, asplenia, polysplenia, cardiac anomalies) Pathophysiology : : obliteration or [amboss.com]

The purpose of this review is to determine the etiological factors behind megacistys and to discuss their management. [giog.it]

Inflammatory etiology should be considered different than infectious, and indwelling catheters play a role in development. Traumatic A traumatic event is the single most important etiologic factor in the development of stricture in children. [pediatricurologybook.com]

Currently, the most frequently discussed etiologies of PBS include urethral obstruction, mesodermal defect and abnormalities of the allantois. [nature.com]

Epidemiology

Anal atresia Definition : sporadically occurring malformation of the rectum with absence of an anal opening Epidemiology Clinical features Flat bottom (no or poorly developed midline groove between buttocks), absence of anal opening, small or missing [amboss.com]

Epidemiology The estimated incidence is 1 in 3,000 births. [ 2 ] Finland has a comparatively high figure of 1 in 2,500 births. [patient.info]

Pathophysiology

[…] live births in the US; ♀ > ♂ Etiology Exact etiology unknown, most likely an embryonal malformation or acquired lesion Approx. 10–35% of cases involve additional anatomical malformations (e.g., situs inversus, asplenia, polysplenia, cardiac anomalies) Pathophysiology [amboss.com]

Pathophysiology This leads to an increasingly distended bladder that eventually may fill the whole abdomen and results in retrograde pressure causing dilated ureters bilateral hydronephrosis and renal dysplasia. [giog.it]

Prevention

[…] help preserve kidney function (prevent damage). [chw.org]

Suctioning of the blind ending oesophagus is necessary to prevent aspiration and protect the airway. This should continue until surgery is performed. Prophylactic antibiotics may also be needed. [patient.info]

All three conditions are clinical diagnoses and require surgery to prevent infections and further complications. In extrahepatic biliary atresia, the infant presents with prolonged neonatal jaundice, acholic stools, dark urine, and hepatomegaly. [amboss.com]

Some urinary malformations can be visualized by ultrasound examination, and should be diagnosed at an early gestation age so as to prevent renal failure in children and young adults ( 2 ). [giog.it]

To prevent the anus from narrowing, it may be necessary to stretch the anus periodically. This is called anal dilation. You may need to repeat this periodically for a few months. Your doctor can teach you how to perform this at home. [healthline.com]

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