To investigate the value of prenatally detected hydronephrosis (PNH) as a prognostic factor for vesico-ureteral reflux (VUR). The MEDLINE database was searched for articles on PNH and VUR published between 1980 and 2004. A total of 18 studies were identified and reviewed for various aspects. Results were separated for primary and/or secondary VUR whenever possible, because of the different underlying pathogenic mechanisms. There was considerable variation between the different studies with respect to methodology and study design. One of the main discrepancies was the way in which postnatal abnormalities were ascertained: by postnatal ultrasound, voiding cystourethrogram (VCUG) alone, or combined or sequential ultrasound and VCUG. Taking these limitations into account, the published data showed there to be a mean prevalence of 15% for postnatal primary VUR after PNH. Of all patients with PNH, 53% had no postnatal anomalies, whereas 29% had other anomalies, such as duplex collecting systems. Of all infants with PNH, 15% had primary VUR proven postnatally and 53% had no other anomalies detected. We suggest a standardized protocol for future studies, to enable better comparison of follow-up protocols.

Disponible en www.citeulike.org

sccp/colombia

Disponible en www.citeulike.org

sccp/colombia

Epispadias is a rare diagnosis and most commonly described as a part of the bladder exstrophy complex. Epispadias is characterized by failure of the urethral plate to tubularize on the dorsum with the defect ranging from a glandular to a penopubic location. In addition, male patients demonstrate a dorsal chordee whereas female patients exhibit a bifid clitoris. The goal of surgical correction is the placement of the meatus in its anatomical position and the creation of functional genitalia with good cosmetic outcomes. Two different major reconstruction principals, the modified Cantwell-Ransley and the Mitchell Bagli repair, are used in specialized centers worldwide. Both procedures comprise the major principles of epispadias surgery but differ in timing and the extent of urethral mobilization. In addition, both techniques have advantages and specific risks involved, and reports from supporting institutions demonstrate favorable results. Regardless of the approach, the reconstruction should be performed by experienced surgeons.

Disponible en www.citeulike.org

sccp/colombia

Epispadias is a rare diagnosis and most commonly described as a part of the bladder exstrophy complex. Epispadias is characterized by failure of the urethral plate to tubularize on the dorsum with the defect ranging from a glandular to a penopubic location. In addition, male patients demonstrate a dorsal chordee whereas female patients exhibit a bifid clitoris. The goal of surgical correction is the placement of the meatus in its anatomical position and the creation of functional genitalia with good cosmetic outcomes. Two different major reconstruction principals, the modified Cantwell-Ransley and the Mitchell Bagli repair, are used in specialized centers worldwide. Both procedures comprise the major principles of epispadias surgery but differ in timing and the extent of urethral mobilization. In addition, both techniques have advantages and specific risks involved, and reports from supporting institutions demonstrate favorable results. Regardless of the approach, the reconstruction should be performed by experienced surgeons.

Disponible en citeulike sccp

Prenatal ultrasonography has become a critical and integral component of the obstetric care of women worldwide. As a result, a number of congenital anomalies are now routinely being detected prior to birth. Anomalies affecting the genitourinary system are among those most commonly detected, and thus pediatric urologists are increasingly being asked to provide parental counseling in such situations. However, much of the data needed to enhance these discussions and provide informed consent are absent from the literature. In this review, we hope to address the published literature describing the rapidly expanding role of ultrasound in prenatal care. More importantly, however, we hope to provide some insight into the manner in which prenatal ultrasound and subsequent urologic anomaly diagnosis has affected the practice of pediatric urology.

Disponible en www.citeulike.org. Cuenta sccp. Solicite su clave de acceso al correo webmastersccp@gmail.com

Dr. Carlos Melo Hernández

@ camelo@emcali.net.co, camelociruped@yahoo.com

Enlace en YouTube

Department of Medical Genetics, University Medical Centre, Utrecht, The Netherlands. a.vaneerde@umcutrecht.nl

Técnica de Snodgrass
Dr. Ricardo Álvarez
Barranquilla

________________________

Ricardo Álvarez Castro
Barranquilla

rialvarez64@hotmail.com
www.institutodehipospadias.com
www.cupec.net

________________

Enrique Villamizar Zúñiga
Cúcuta
evillamizarz@gmail.com

________________________

Sergio Rueda Martínez

Bogotá

sergioruedamd@yahoo.com

______________________

Jaime Martínez Cano
Pereira
jmartinezcano@hotmail.com

_______________________

Andrea Ximena Duarte Sanabria
Bogotá
ximenaduarte@yahoo.com

_____________________
Galo Veintemilla Granados
Bogotá
gveintemilla@cancer.gov.co