RT Book, Section
A1 Sheldon, Curtis A.
A1 Minevich, Eugene
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100436840
T1 Urinary Tract Reconstruction for Continence and Renal Preservation
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesspediatrics.mhmedical.com/content.aspx?aid=1100436840
RD 2024/04/24
AB Incontinent  diversion  is  no  longer  considered  an  acceptable  alternative  to  reconstruction  in  the  pediatric  population.The  goals  of  urinary  reconstruction  are  to  preserve  the  upper  urinary  tract,  attain  socially  acceptable  continence,  and  maximize  the  child's  ease  of  care  and  potential  for  self-care.Four  components  of  balanced  urinary  tract  function  must  be  achieved  to  ensure  long-term  success  with  urinary  reconstruction.Adequate  bladder  (reservoir)  capacity  and  sufficient  compliance  to  provide  low-pressure  storage.Adequate  bladder  outlet  resistance  to  maintain  urinary  continence.A  convenient,  reliable  mechanism  for  bladder  (reservoir)  emptying.Unobstructed  and  nonrefluxing  sterile  upper  tract  drainage  of  urine  into  the  bladder  (reservoir)  is  desirable  in  order  to  protect  the  upper  tracts.