Urinary Tract Diversion and Other Urologic Considerations in Children on CAPD/CCPD
Congenital obstructive uropathies are one of the most common causes of end-stage renal disease in children. Despite significant advances in the diagnosis, treatment and long-term management of these conditions, many children with obstructive uropathy will inevitably progress to renal replacement therapy. Close team oriented collaboration between the pediatric urologist and nephrologist is important to optimize care and ensure the proper sequence of intervention in order to prolong renal function, improve growth, protect peritoneal efficacy, and smooth the transition to eventual transplantation. Despite the well established nature of this relationship in practice, little has been written in the literature specifically addressing this topic. Therefore, this chapter will discuss concepts of urologic care related to the child with expected renal failure and highlight those aspects that may impact upon future dialysis and transplantation. It is only with the coordination of proper urologic treatment with an appreciation of future nephrologic intervention that one may provide the best care for these unfortunate children.
KeywordsUrinary Diversion Obstructive Uropathy Posterior Urethral Valve Ileal Conduit Stomal Stenosis
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