Urinary Tract Defects In Children Need Early Treatment

Urinary tract defects are relatively common in pediatric pathologies. The disease causes urinary tract infections, failure and loss of kidney function, so it should be detected and treated early.
In the past, these malformations were usually detected only when complications were present, but in recent years these malformations were often detected early after birth even before they were born.
Babies are often taken to the clinic for reasons such as difficulty peeing, peeing at all times or throughout the day, urine may ooze in the correct pee or other places like in the vagina .

.. The urine may be cloudy or colored. pink, may have tumors in the area below the navel or ribs .



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Here are some common urinary tract abnormalities:
- Phimosis:
Manifestations: difficulty urinating, when urinating sees the foreskin to swell, the foreskin cannot be - cannot see the whole hole.
Treatment by surgery, dilatation or flipped. In case of foreskin narrowing but without fibrous ring, it may be upside down to gradually widen the foreskin. This method is simple, easy to do, does not hurt children, lasting results.
Or use small pine pine, stick, clean the glans - glans groove. However, surgery must be indicated when there is a fibrous circumference in the foreskin that requires surgery
- Narrow stenosis: after circumcision, the fissure hole is lower or narrower than normal.




Manifestations: small rays, difficult to pee. Treatment by dilatation - enlargement of the bladder.
The form of urinary stenosis is common in children
- Stenosis of the urethra: Due to many causes such as trauma, inflammation, congenital. Manifestations: difficulty urinating, small rays, urinary tract infections. This pathology requires the urethra to be able to diagnose the urethra length, location, and degree of narrowing.
Depending on the length, the degree of narrowness selected urethral dilatation; Extend stenosis with endoscopy; or cut a narrow space, reconnect the urethra or create a new segment of the urethra.
- Urethral excess bag: Usually in boys, rarely in girls. The disease usually manifests itself right after birth.



Children do not pee in the rays, always pee. Fever due to urine infection.
In the scrotum, there is usually a fairly rounded mass, pressed into the urine in the pee. Urethral scan determines position and size of excess bag. Antibiotic treatment and surgical removal of the excess bag, suturing the urethra.
- Urethral valve after in boys: Manifestations: It is difficult to urinate or pee continuously, pee does not empty urine so the bladder is often large. This pathology may have X-rays or urethra examined for diagnosis. The treatment is laparoscopic valve resection.




- And umbilical urinary tube: Expression: see clear water oozing through the umbilical cord often or when the child urinates, urine has just passed through the urinary hole at the top of the foreskin and past the navel.
The diagnosis is made by bladder or injection of methylene blue substance into the urethra. The disease usually resolves with babies. If exist, surgery to remove the umbilical tube.
- Stenosis of the bladder-ureter junction or narrowing of the ureter in the wall of the bladder: causing ureteral dilatation, pyelonephritis
Manifestations: turbid urine, infection, can be seen to have tumors on one side of the ribs. Through ultrasound and X-ray can help diagnose the disease. To treat the disease, the doctor will specify a method to cut the narrow ureter and replant the ureter into the bladder with anti-reflux valve.
- Ureteral stenosis: Creating ureteral prolapse.



Ureteral prolapse may be in the bladder or may come out of the urinal hole (in girls) and cause urinary retention.
Diagnosis by ultrasound, scan and cystoscopy. Surgical opening of the prolapsed sac via laparoscopy or removal of the ureter - the extra kidney has a prolapse if the extra kidney has poor function and the ureter is enlarged.
Urinary tract stenosis is a common urinary tract malformation
- Flow of bladder - ureter reflux: due to various reasons, urine from the bladder always flows back up into the ureter, causing ureteral dilatation and stagnation of urine, causing infection and kidney failure. Diagnosed by X-ray, ultrasound. If mild (grade I and II) use antibiotics, surgery when the disease is more severe (grade III, IV).
- Stenosis of the ureter: Manifesting: abdominal pain in the flank area, urine may be cloudy, the abdomen can see tumors (kidney enlargement).
Diagnostic with ultrasound and ureteral nephrography with contrast material.



Surgery to cut valve, can create ureter dilated above.
- Nephrotic junction obstruction syndrome: Manifestations: abdominal pain in the ribs, urine may be cloudy, chiropractic can see tumor in the ribs (due to kidney enlargement). Diagnosis by ultrasound and renal scan with contrast medicine.
This malformation is usually detected before the baby is born. Surgery to remove a narrow ureter, reshape the dilated renal pelvis, reconnect the ureter to the renal pelvis.
- Double kidney ureter: Expression: each side has two kidney units and two ureters. The disease may be on one or both kidneys left and right. Both ureters may fall into the bladder or have a ureter in place into the urethra, next to the urethra, vagina .



.. should cause continuous urination.
Diagnosis by ultrasound and kidney - ureter with contrast. Surgery if there is leakage or signs of recurrent bacterial infection ...
In short, children's urinary tract defects come in many types and can combine with each other, with defects or diseases in other parts.



When children come to the clinic early and the disease begins, the treatment is good.
Recent months, ch.

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