Peds Urology OME

Question 1

how long should you wait for a un-descended testicle to descend before doing surgery?

Answer 1

6m then do surgery.

*increased risk for cancer

Question 2

classic urine color for glomerular causes of hematuria vs post-glomerular causes?

Answer 2

glomerular = RBC casts + dysmorphic rbc+ Coca-cola colored urine
post-glomerular = red/pink urine + normal rbc

Question 3

Posterior Urethral Valves

sx?

Answer 3

MC in males, low to no urine output + palpable bladdder, due to redundent tissue, hx of oliohydraminos

Question 4

posterior urethral valves tx?

Answer 4

catheritization, confirm sx with VCUG, surgery

Question 5

epispadias

Answer 5

kid pees in his own face

*dnt circumsize as you need the tissue to reconstruct

Question 6

hypospadis

Answer 6

kid pees on his feet

*dnt circumsize as you need the tissue to reconstruct

Question 7

Ureteropelvic junction obstruction

what do you need to do to work this up?

Answer 7

exactly what it sounds like. colicky pain, usually see with kid who binge drinking, dx with U/S and check UCUG for contralateral reflex