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Atresia of Urethra

Urethral atresia


Presentation

  • 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]
  • 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]
  • Elsevier Health Sciences, ٣١‏/٠١‏/٢٠١٤ - 992 من الصفحات Acclaimed for its unsurpassed readability and manageable scope, Ashcraft’s Pediatric Surgery presents authoritative, practical guidance on treating the entire range of general surgical and urological[books.google.com]
  • Abstract A rare case of congenital urethral atresia with urethrorectal communication is presented. The embryological misdevelopment and one-stage correction of the anomaly are discussed.[link.springer.com]
Pathologist
  • Springer Science & Business Media, 9 Mar 2013 - Medical - 241 pages This book is designed primarily for anatomic pathologists to facilitate their task of accurately diagnosing embryos and fetuses.[books.google.com]
Collapse
  • Later complications include: Respiratory complications: Severe tracheomalacia and bronchomalacia occur in 20%. [ 2 ] Airway collapse can cause life-threatening obstruction. Tracheomalacia can lead to a 'TOF cough' (a harsh barking cough).[patient.info]
Gagging
  • […] to relieve the obstruction, insertion of an airway may be necessary. esophageal atresia congenital lack of continuity of the esophagus, commonly accompanied by tracheoesophageal fistula, and characterized by accumulations of mucus in the nasopharynx, gagging[medical-dictionary.thefreedictionary.com]
Cardiomegaly
  • Called also pyloric atresia. pulmonary atresia congenital severe narrowing or obstruction of the pulmonary orifice, with cardiomegaly, reduced pulmonary vascularity, and right ventricular atrophy.[medical-dictionary.thefreedictionary.com]
Bladder Neck Obstruction
  • neck obstruction Q64.32 - Congenital stricture of urethra Q64.33 - Congenital stricture of urinary meatus[emedcodes.com]
  • neck obstruction Q64.32 Congenital stricture of urethra Q64.33 Congenital stricture of urinary meatus Q64.39 Other atresia and stenosis of urethra and bladder neck This ICD-9 to ICD-10 data is based on the 2018 General Equivalency Mapping (GEM) files[healthprovidersdata.com]
  • neck obstruction Inclusion term(s): Congenital obstruction of vesicourethral orifice Q64.32 Congenital stricture of urethra Q64.33 Congenital stricture of urinary meatus Q64.39 Other atresia and stenosis of urethra and bladder neck Inclusion term(s):[icd10coded.com]
  • Convert to ICD-10-CM : 753.6 converts approximately to: 2015/16 ICD-10-CM Q64.2 Congenital posterior urethral valves Or: 2015/16 ICD-10-CM Q64.31 Congenital bladder neck obstruction Or: 2015/16 ICD-10-CM Q64.32 Congenital stricture of urethra Or: 2015[icd9data.com]
  • neck obstruction Q64.32 Congenital stricture of urethra Q64.33 Congenital stricture of urinary meatus Q64.39 Other atresia and stenosis of urethra and bladder neck Q64.4 Malformation of urachus Q64.5 Congenital absence of bladder and urethra Q64.6 Congenital[icd10data.com]
Imperforate Hymen
  • In a case of Langenbeck's, cited by Winckel, a girl of nineteen had an imperforate hymen, the urethra was absent, and vagina and bladder formed a common canal. Atresia of the Urethra.[gluedideas.com]

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]
  • Prepare for clinical challenges and save time in addressing them thanks to expert advice on treatment options from international contributors.[books.google.com]
  • Focus on evidence-based treatments and outcomes to apply today’s best practices.[books.google.com]
  • Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery.[icdlist.com]
  • We outline the outcome after treatment of 6 patients born with urethral atresia. MATERIALS AND METHODS: We reviewed the charts of 6 patients with urethral atresia treated at the Children's Hospital of Michigan between 1982 and 1999.[ncbi.nlm.nih.gov]

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]
Sex distribution
Age distribution

Pathophysiology

  • ., situs inversus, asplenia, polysplenia, cardiac anomalies) Pathophysiology : : obliteration or discontinuity of the biliary system obstruction to bile flow ( cholestasis ) secondary biliary cirrhosis and portal hypertension Clinical features Diagnosis[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

  • What they found adds to... [ Read Full Story ] May 10, 2019 If your provider is ordering nebulizers and the drugs used in them for their patients here are things in the documentation that will help prevent a resubmission to Medicare and ease medical coding[coder.aapc.com]
  • […] 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]

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