Costantino E, Ganesan GS. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220905 Description Bladder exstrophy–epispadias complex is a spectrum of rare congenital malformations involving the urinary, genital and musculoskeletal systems. The condition can be subdivided into classic/ typical forms, comprising epispadias, classical bladder and cloacal exstrophy, and variant/atypical forms, including dupli...

OBJECTIVE To describe the differential diagnosis of periurethral masses in a consecutive series extracted from a single tertiary urogynecologic practice database. METHODS A patient database of a private urology and urogynecology practice with 1,950 women was searched for patients who were found to have a periurethral mass during the accrual dates of 1994 to 2002, and these records were review...

 ABSTRACT Background: Experience with vesicoureteral reflux (VUR) differs in different centers and there are plenty of controversies. The aim of this study was to evaluate the outcome of primary VUR complications and the rate of recurrence of UTI. Methods: The medical charts of all infants and children with primary VUR who were followed up by two nephrologists were reviewed. During 19 years (19...

Most cases of daytime incontinence in prepubertal girls have a functional aetiology, although a neurogenic dysfunction must always be ruled out. Vaginal reflux (VR) or intravaginal urination has been recognised as a cause of urinary incontinence with post void dribbling in prepubertal girls. The reverse flow of urine into the vagina can sometimes be perceived in a retrograde voiding cystourethr...

To cite: Arora S, Yadav P, Ansari MS. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015209441 DESCRIPTION An 8-year-old boy presented with a history of open nephrectomy 1 year prior for non-functioning right kidney with recurrent febrile urinary tract infection (UTI) with bilateral vesicoureteric reflux (VUR) (right grade V and left grade IV). One month after s...

Background: Bacteremia is relatively common in children with urinary tract infection (UTI). The aim of the present study was to determine the frequency of bacterial meningitis among neonates with laboratory-confirmed UTI.Methods: This retrospective cross-sectional study was performed on 163 hospitalized neonates in Ali Asghar and Shahid Akbarabadi hospitals affiliated to Iran University o...

Justin is a 6-year-old boy diagnosed with attention-deficit/hyperactivity disorder who presented with daytime and night-time wetting. He had been toilet trained at the age of 3 years but was back in diapers as a result of the enuresis. His bowel movements were normal. The initial evaluation consisted of a urinalysis, urine culture, serum creatinine level, and renal/bladder ultrasound examinatio...

Vesicoureteral reflux (VUR), the retrograde flow of urine from the bladder toward the kidney, is common in young children. About 30% of children with urinary tract infections will be diagnosed with VUR after a voiding cystourethrogram. For most, VUR will resolve spontaneously; 20% to 30% will have further infections, but few will experience long-term renal sequelae. Developmentally, VUR arises ...

BACKGROUND/PURPOSE It is still under discussion which is the best tissue augmenting substance for the endoscopic treatment of children with vesicoureteral reflux (VUR). We describe our preliminary experience (September 2009-November 2011) with polyacrylate-polyalcohol copolymer hydrogel (PPCH). METHODS This is an observational, descriptive, prospective study which included 81 female and male ...