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Bladder Outlet Obstruction

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Pediatric Surgery

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Abstract

The aetiology of bladder outlet obstruction (BOO) is diverse, and anatomic causes often induce a functional abnormality that remains somewhat unique for each individual, regardless of gender. A full appreciation of the possible aetiologies of obstruction is necessary to identify overt and more subtle scenarios. Individualised symptom appraisal is a crucial component of evaluation to assess the magnitude of the impact of the symptoms. The combination of bladder diary, flow rates, and postvoid residual volume with urodynamic and pressure flow evaluation is now the gold standard.

Future trends will continue to focus on enhancing the diagnostic accuracy and specificity of BOO evaluation. Noninvasive measures may become more commonly used as their validation against older techniques occurs.

The treatment protocol is highly dependent on the cause and pathophysiologic status of the patient at presentation. Many patient will require long-term follow-up to maintain an optimal quality of life.

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Author information

Authors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria

    Lukman O. Abdur-Rahman

  2. Oxford Children’s Hospital, Oxford, UK

    Rowena Hitchcock

Authors
  1. Lukman O. Abdur-Rahman
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  2. Rowena Hitchcock
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Editor information

Editors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria

    Emmanuel A. Ameh

  2. Professor of Surgery & Pediatrics, Rady Children’s Hospital, University of California San Diego, San Diego, CA, USA

    Stephen W. Bickler

  3. Department of Pediatric Surgery, University of Oxford, Oxford, UK

    Kokila Lakhoo

  4. Department of Pediatric Surgery, Nationwide Children’s Hospital, and Department of Surgery, Ohio State University, Colombus, OH, USA

    Benedict C. Nwomeh

  5. Department of Pediatric Surgery, Montreal Children’s Hospital, Montreal, QC, Canada

    Dan Poenaru

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Abdur-Rahman, L.O., Hitchcock, R. (2020). Bladder Outlet Obstruction. In: Ameh, E.A., Bickler, S.W., Lakhoo, K., Nwomeh, B.C., Poenaru, D. (eds) Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-41724-6_100

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  • DOI: https://doi.org/10.1007/978-3-030-41724-6_100

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-41723-9

  • Online ISBN: 978-3-030-41724-6

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