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The wide bladder neck and posterior urethra in childhood

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Abstract

Involvement of anomalies of the bladder and urethra in recurrent urinary trac infections and micturition disorders in children are examined in the light of published evidence and of the authors' own observations. The data of 300 children followed up for a wide bladder neck and posterior urethra at the Nephrology Clinic of Heim Pál Children's Hospital, Budapest, are reviewed. The dilatation in question is regarded as functional, attributable to a congenital neurogenic or myogenic defect. For the management and prevention of the recurrent ascending infections long-term urinary disinfection and meticulous toilet of the external meatus are recommended. The symptoms are expected to subside spontaneously at the age of menarche. The importance of a close nephrologic follow-up is emphasized.

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References

  1. Averous, M., Guiter, J., Grasset, D.: La sténose urétrale de la fillette, mythe ou réalité? Confrontation des données cliniques, radiographiques, instrumentales et urodynamiques.J. Urol. Néphrol. (Paris),87, 67 (1981).

    Google Scholar 

  2. Bensman, A., Lasfergues, G.: L'infection urinaire de l'enfant.Presse Méd., 12, 2429 (1983).

    Google Scholar 

  3. Dorfman, L. E., Bailey, J., Smith, J. P.: Subclinical neurogenic bladder in children.J. Urol., 101, 48 (1969).

    Google Scholar 

  4. Emmett, J. L., Simon, H. F.: Trans-urethral resection in infants and children for congenital obstruction of the vesical neck.J. Urol., 76, 595 (1956).

    Google Scholar 

  5. Forbes, P. A., Drummond, K. N., Nogrady, M. B.: Meatotomy in girls with meatal stenosis and urinary tract infections.J. Pediatr. 75, 937 (1969).

    Google Scholar 

  6. Govan, D. E., Palmer, J. M.: Urinary tract infection in children. The influence of successful antireflux operations in morbidity from infection.Pediatrics, 44, 677 (1969).

    Google Scholar 

  7. Graham, J. B., King, L. R. Kropp, K. A., Uehling, D. T.: The significance of distal urethral narrowing in young girls.J. Urol., 97, 1045 (1967).

    Google Scholar 

  8. Halverstadt, D. E., Leadbetter, G. W. Jr.: Internal urethrotomy and recurrent urinary tract infection in female children. I. Results in the management of infection.J. Urol., 100, 297 (1968).

    Google Scholar 

  9. Harrow, B. R., Sloane, J. A., Witus, W. S.: Congenital dilatation of the female urethra.J. Urol., 95, 58 (1966).

    Google Scholar 

  10. Harrow, B. R., Sloane, J. A., Witus, W. S.: A critical examination of bladder neck obstruction in children.J. Urol., 98, 613 (1967).

    Google Scholar 

  11. Harvard, B. M.: Revision of the external meatus in girls.J. Urol., 103, 236 (1970).

    Google Scholar 

  12. Hinmann, F. Jr.: Mechanism of the entry of bacteria and the establishment of urinary infection in female children.J. Urol., 96, 546 (1966).

    Google Scholar 

  13. Immergut, M., Wahman, G. E.: The urethral calibre of female children with recurrent urinary tract infection.J. Urol., 99, 189 (1968).

    Google Scholar 

  14. Kaplan, C. G. W., King, L. R.: An evaluation of Y-V vesicourethroplasty in children.Surg. Gynecol. Obstet., 130, 1059 (1970).

    Google Scholar 

  15. Kaplan, G., Sammons, T. A., King, L.: A blind comparison of dilatation, urethrotomy and medication alone in the treatment of urinary tract infection in girls.J. Urol., 109, 917 (1973).

    Google Scholar 

  16. Keitzer, W. A., Benavent, C.: Bladder neck obstruction in children.J. Urol., 89, 384 (1963).

    Google Scholar 

  17. Kendall, A. R., Karafin, L.: Urinary tract infection in children: fact and fantasy.J. Urol., 107, 1068 (1972).

    Google Scholar 

  18. Kerr, W.: Results of internal urethrotomy in female patients with urethral stenosis.J. Urol., 102, 449 (1969).

    Google Scholar 

  19. Kondo, A.: Children with unstable bladder: clinical and urodynamic observation.J. Urol., 129, 88 (1983).

    Google Scholar 

  20. Lyon, R. P., Smith, D. R.: Distal urethral stenosis.J. Urol., 89, 414 (1963).

    Google Scholar 

  21. Lyon, R. P., Tanagho, E. A.: Distal urethral stenosis in little girls.J. Urol., 93, 379 (1965).

    Google Scholar 

  22. Lyon, R. P., Marshall, S.: Urinary tract infections and difficult urination in little girls: Long-term follow-up.J. Urol., 105, 314 (1971).

    Google Scholar 

  23. Lyon, R. P.: Distal urethral stenosis. In: J. H. Johnston, W. E. Goodwin (eds): Reviews in Paediatric Urology. Excerpta Medica, Amsterdam, American Elsevier Publishing Company, Inc., New York 1974, pp. 1–24.

    Google Scholar 

  24. Martin, D. C., Datta, N. S., Schwitz, B.: The occult neurogenic bladder.J. Urol., 105, 733 (1971).

    Google Scholar 

  25. Nunn, I. N.: Bladder neck obstruction in children.J. Urol., 93, 693 (1965).

    Google Scholar 

  26. Shopfner, Ch. E.: Modern concepts of lower urinary tract obstruction in paediatric patients.Pediatrics, 45, 194 (1970).

    Google Scholar 

  27. Smith, D. R.: Critique on the concept of vesical neck obstruction in children.JAMA, 207, 1686 (1969).

    Google Scholar 

  28. Stanton, S., Williams, D. I.: Wide bladder neck anomaly.Br. J. Urol., 45, 60 (1973).

    Google Scholar 

  29. Szüle, E., Hajós, L.: The wide bladder neck anomaly.Urol Nephrol. Szle., 4, 79 (1977).

    Google Scholar 

  30. Tanagho, E. A.: Spastic striated external sphincter and urinary tract infection in girls.Br. J. Urol., 43, 69 (1971).

    Google Scholar 

  31. Tóth, J.: In: Selected Chapters of Urology. Vol. II. Lecture notes, Postgraduate Medical School, Budapest. Manuscript, 1978, p. 32.

    Google Scholar 

  32. Vermillion, C. D., Halverstadt, D. B., Leadbetter, G. W Jr.: Internal urethrotomy and recurrent urinary tract infection in female children. II. Long-term results in the management of infection.J. Urol., 106, 154 (1971).

    Google Scholar 

  33. Walker, D., Richard, G. A.: A critical evaluation of urethral obstruction in female children.Pediatrics, 51, 272 (1973).

    Google Scholar 

  34. Weiss, J. M.: Urinary tract infections in girls. I. A computerized analysis of urethral stenosis.J. Urol., 100, 513 (1968).

    Google Scholar 

  35. Williams, D. I., Strudy, E. D.: Recurrent urinary infections in girls.Arch. Dis. Child., 36, 130 (1961).

    Google Scholar 

  36. Williams, D. I., Urology in childhood. Encyclopedia of Urology, XV, Supplement. Springer-Verlag, Berlin-Heidelberg-New York 1974, pp. 103–110, 131–132, 195–197, 240–245.

    Google Scholar 

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Láng, K., Tóth, J., Gombos, É. et al. The wide bladder neck and posterior urethra in childhood. International Urology and Nephrology 17, 43–51 (1985). https://doi.org/10.1007/BF02089402

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