| Autor: |
Teodorescu, I. Daniela, Baston, C., Codoiu, C., Guler, M. S. S., Gîngu, C., Sinescu, I. |
| Předmět: |
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| Zdroj: |
Romanian Journal of Urology; 2020, Vol. 19 Issue 1, p44-49, 6p |
| Abstrakt: |
Congenital urinary obstruction is one of the most frequent conditions affecting the urinary tract in children. It may lead to significant long-term health consequences and the management of these pathologies represents a major challenge for urologists.[1] In cases where the patient presents with a complex pathology and an intricate medical and surgical history, retracing and understanding this history require a thorough anamnesis. Access to a state-of-theart Imaging department is vital in order to have the highest degree of accuracy in determining the diagnosis. The doctor-patient relationship plays a very important role and all available treatment options must be discussed. The cases should be resolved through as few surgeries as possible. When the full reconstruction of the urinary tract is not feasible, as a last resort remains total nephrectomy or partial nephrectomy - when possible. The urologist's approach should always also bear in mind the patient's quality of life and it is preferable to avoid long-term indwelling catheters. Postoperative follow-up after reconstructive surgeries must be done through high-performance imaging studies of the urinary tract. In this article we will present the case of a female patient with multiple congenital anomalies of the urinary tract and iatrogenic stenoses of the ureteropelvic junction and of the ipsilateral ureterovesical reimplantation site, following the reconstructive procedures she underwent during childhood. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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