BACKGROUND The embryological and anatomical features of urachal anomalies have been well defined. Because of the variable clinical presentations, uniform guidelines for evaluation and treatment are lacking. In an attempt to establish an optimal diagnostic and treatment modality, we report our experience with urachal anomalies at a single institution over a 10-year period. METHODS The records ...

CASE SUMMARY A 9-year male neutered domestic longhair cat was referred to our hospital for investigation of recurrent urinary tract obstruction. The clinical signs had started 12 months earlier and the cat had been catheterised on multiple occasions. Clinical examination and abdominal ultrasound of the abdomen was unremarkable but examination of the penis revealed it to be prolapsed and extreme...

Congenital anomalies of the kidney and ureter are a significant cause of morbidity in foetus, neonate, infancy and adulthood. Radiological investigations provide a foundation for diagnosing these conditions giving vital clinical information. Various imaging modalities used to diagnose these anomalies are intravenous urography (IVU), voiding cystourethrogram (VCUG), Computed tomography (CT), Mag...

INTRODUCTION The aim of this study was to evaluate the accuracy of Technetium Tc 99m dimercaptosuccinic acid (99mTc-DMSA) renal scintigraphy in the diagnosis of urinary tract infection (UTI) in children with suspected infection but with a negative urine culture. MATERIALS AND METHODS The records of all children with suspected or definite diagnosis of UTI presented during a 2-year period were ...

BACKGROUND The aims of this study were to determine whether renal pelvis dilation on ultrasound was reliable in predicting vesicoureteral reflux (VUR) and to assess the relationship of other clinical information of VUR in children with urinary tract infection (UTI). METHODS We retrospectively reviewed clinical data, renal echo, and voiding cystourethrogram (VCUG) results in hospitalized child...

BACKGROUND Vesicoureteric reflux (VUR) is a common urinary tract abnormality observed in children with urinary tract infection and children with VUR are at risk of reflux nephropathy and renal parenchymal damage. In Nepal, till date there are no published series of VUR in children. AIMS AND OBJECTIVES To study the incidence of VUR in Nepalese children with Urinary tract infection (UTI), to an...

OBJECTIVE This study aims to demonstrate a novel laparoscopic technique of tapering megaureter without disrupting the blood supply and disconnecting the ureter. MATERIALS AND METHODS Eight cases of primary obstructive megaureter in the age group of 14-22 years underwent laparoscopic extravesical ureteric reimplantation between August 2011 and July 2015 using our novel technique. Five patients...

BACKGROUND The 2011 American Academy of Pediatrics guidelines state that renal and bladder ultrasound (RBUS) should be performed after initial febrile urinary tract infection (UTI) in a young child, with voiding cystourethrogram (VCUG) performed only if RBUS shows abnormalities. We sought to determine test characteristics and predictive values of RBUS for VCUG findings in this setting. METHOD...

A 55-year-old man presented with intermittent episodes of urinary leak through the left groin following an abscess drainage at that site at the age of 5 years. Since then he had been suffering from recurrent urinary tract infections and urinary leak, which used to be treated symptomatically. Intravenous urogram (IVU), voiding cystourethrogram (VCU), and cystoscopy done in our institution reveal...

OBJECTIVE To evaluate the efficacy of Vantris in children with vesicoureteral reflux (VUR) after 3 years of prospective follow-up. MATERIAL AND METHODS Over the last 3 years, 109 children (72 girls and 37 boys) with a mean age of 6.2 ± 3.4 years (mean ± SD) underwent endoscopic correction of reflux using Vantris. VUR was unilateral in 53 and bilateral in 56 patients comprising 165 renal reflu...