Obstruction

Question 1

When can you observe primary obstructing megaureter?

Answer 1

Asymptomatic and no renal insufficiency (Function > 40%)

Question 2

what is spinning top urethra indicative of?

Answer 2

external sphincter overactivity

Question 3

With reflux when is definitive surgical management (re-implant) considered?

Answer 3

> 6-8 mo old
non infected
kidney function < 40%

Question 4

What are the indications for surgery for VUR?

Answer 4

1. persistent Grade V-VI after 1 year of conservative management
2. Failure of renal growth or worsening scarring
3. Breakthrough UTI despite prophylaxis
4. intolerance or no n compliance w/ antibiotics