Urologic problems of the neonate: an update.
During the last 2 decades of the twentieth century, maternal sonography became integrated into routine prenatal care. As a result, numerous anomalies are now detected in the fetus. This practice has had a profound influence on the presentation and natural history of urologic problems in the neonate. In an attempt to reflect the clinical scenario, this article is divided into two main parts: the first includes clinical questions raised by prenatally detected anomalies, abdominal masses, urosepsis, urinary retention, scrotal masses, and abnormal external genitalia; the second part is a discussion of specific anomalies with respect to evaluation and management, including controversies, and optimum timing for referral to a tertiary care center. Our knowledge regarding the pathophysiology and therefore treatment of these conditions is constantly expanding and changing.
Mesrobian
Hrair-George O
HG
Department of Urology, Division of Pediatric Urology, Medical College of Wisconsin, Children's Hospital of Wisconsin, 9000 W. Wisconsin Avenue, Children's Hospital Office Building, Suite 606, Milwaukee, WI 53226, USA. hmesrobi@mcw.edu
D005835:Genitalia / Q000002:abnormalities; D006801:Humans; D007231:Infant, Newborn; D016135:Spinal Dysraphism / Q000150:complications; D014551:Urinary Tract / Q000002:abnormalities; D014570:Urologic Diseases / Q000175:diagnosis* / Q000628:therapy