By Prof. Dr. med. W. Becker, Dr. med. J. Meller, Dr. med. H. Zappel, Dr. med. A. Leenen, Dr. med. F. Seseke (auth.)
- Thorough description of the present imaging and sensible research innovations in nuclear medication and radiology
- distinctive portrayal of symptoms and differential diagnoses
- Exhaustive description of the beneficial properties of paediatric urological illnesses suitable for diagnostic imaging
- Embryologic and pathophysiologic background
- transparent tips about software of diagnostic imaging strategies in response to the newest findings and consensus guidelines
- huge variety of case reviews illustrating average tactics in diagnostic imaging
- Case descriptions highlighting universal diagnostic problems
- Presentation of surprising and infrequent cases
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Additional info for Imaging in Paediatric Urology
Evaluation of the bladder function and the urethra is especially important, to minimize the risk of recurrence. The main problem caused by recurrent infections of the epididymis is occlusion of the vas deferens, with consequent infertility. Whereas in southeast Asia, the Middle East and Africa stone formation is frequent in children, in North America and Scandinavia the incidence is considerably lower. In central Europe the frequency of stone disease in childhood has markedly decreased during the last century, improved diet and hygiene having been contributory factors in this.
3 Clinical Evaluation The first measures to be instituted on suspicion of UTI, before the beginning of any therapy, are urinalysis and urinary culture. Particularly in young children who are not yet toilet-trained, it is difficult to obtain reliably uncontaminated urine specimens. The safest method, therefore, is bladder catheterization or suprapubic bladder puncture. A so-called bagged urine specimen, obtained by attaching a plastic bag over the external genitalia, is absolutely unsuitable for the detection of bacteriuria, as it will reveal only the normal perineal and rectal bacterial flora.
However, end-stage renal failure is rare in patients with UTI, even if it is recurrent. In contrast to the adult situation, haemorrhagic cystitis is rare in children. This specific form of urinary infection of the lower tract is usually not induced by bacteria, but by different subgroups of adenovirus, and it is, therefore, not susceptible to antimicrobial therapy. The children show only slight fever, gross haematuria, frequency and urgency without bacterial colonization on urinary culture. 3 Clinical Evaluation The first measures to be instituted on suspicion of UTI, before the beginning of any therapy, are urinalysis and urinary culture.