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.
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
Hrair-George O
HG
Mesrobian
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