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Guidelines on
PaediatricUrology
S. Tekgül, H. Riedmiller, D. Beurton, E. Gerharz, P. Hoebeke,R. Kocvara, Chr. Radmayr, D. Rohrmann
European Society for Paediatric Urology
©European Association of Urology2006
 
TABLE OF CONTENTSPAGE
1.INTRODUCTION61.1 Reference62.PHIMOSIS62.1Background62.2Diagnosis62.3Treatment72.4 References73.CRYPTORCHIDISM83.1 Background83.2Diagnosis83.3Treatment93.3.1Medical therapy93.3.2Surgery9Palpable testis9Non-palpable testis93.4Prognosis103.5References104.HYDROCELE114.1Background114.2Diagnosis114.3Treatment114.4References115. HYPOSPADIAS125.1Background125.2Diagnosis125.3Treatment125.4References146.CONGENITAL PENILE CURVATURE156.1Background156.2Diagnosis166.3Treatment166.4References167.VARICOCELE IN CHILDREN AND ADOLESCENTS167.1 Background 167.2 Diagnosis177.3Therapy177.4References188. MICROPENIS 198.1Background198.2Diagnosis198.3Treatment198.4References209.VOIDING DYSFUNCTION209.1Background209.2Definition209.2.1Filling-phase dysfunctions219.2.2Voiding-phase (emptying) dysfunctions219.3Diagnosis219.4Treatment219.4.1Standard therapy21
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UPDATE MARCH 2006
 
9.4.2Specific interventions229.5References2210.ENURESIS (MONOSYMPTOMATIC)2310.1Background2310.2Definition2310.3Diagnosis2310.4Treatment2310.4.1Supportive treatment measures2310.4.2Alarm treatment2410.4.3Medication2410.5References2411. MANAGEMENT OF NEUROGENIC BLADDER IN CHILDREN2411.1Background2411.2Definition2511.3Classification2511.4Urodynamic studies2511.4.1Method of urodynamic study2611.4.2 Uroflowmetry2611.4.3 Cystometry2611.5 Management2711.5.1Investigations2711.5.2Early management with clean intermittent catheterization (CIC)2711.5.3Medical therapy2711.5.3.1Botulinum toxin injections2711.5.4 Management of bowel incontinence2711.5.5 Urinary tract infections2811.5.6 Sexuality2811.5.7 Bladder augmentation2811.5.8 Bladder outlet procedures2811.5.9 Continent stoma2811.5.10Total bladder replacement2911.5.11Lifelong follow-up of neurogenic bladder patients2911.6 References2912.DILATATION OF THE UPPER URINARY TRACT (URETEROPELVIC JUNCTION [UPJ] ANDURETEROVESICAL JUNCTION [UVJ] OBSTRUCTION)3412.1Background3412.2Diagnosis3412.2.1Antenatal ultrasound3412.2.2Postnatal ultrasound3412.2.3 Voiding cystourethrogram (VCUG)3512.2.4Diuretic renography 3512.3Treatment3512.3.1Prenatal management3512.3.2UPJ obstruction3512.3.3Megaureter3612.4 Conclusion3612.5 References3613.VESICOURETERUC REFLUX (VUR)3713.1 Background3713.2Classification3713.3 Diagnostic work-up3813.4Treatment3813.4.1Conservative approach3913.4.2Interventional treatment3913.4.2.1Open surgery 3913.4.2.2Laparoscopic reflux correction 39
UPDATE MARCH 2006
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