logging in or signing up Role of surgeon in treatment UTI praveenks97 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 211 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 15, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Role of surgeon in treatment of UTI : Role of surgeon in treatment of UTI Prof. M.K. Ajayakumar Prof. & HOD Dpt. of Paediatic Surgery Bacteriological factors : Bacteriological factors Organism & serology Virulence factrs Host factors : Host factors Perineum colonization with uropathologic bacteria Perpuce Urethra Dysfunctional elemination Anatomic abnormalites of urinary tract Immunologic factors Diagonosis : Diagonosis Urine analysis Routine Leukocyte esterase test Nitrite test Urine C&S Evaluvation : Evaluvation History Dysfunctional voiding Constipation Physical examination Flank mass Bladder distention Examination of genitalia Imaging : Imaging USS MCU 4- 6 weeks after UTI DMSA Slide 8: Dilated ureter Hydronephrosis Slide 9: VUR PUV Urodynamic studies : Urodynamic studies Dysfunctional voiding Uroprophylaxis : Uroprophylaxis For VUR Children < 1yr with documented pyelonephritis / renal scaring Surgical treatment : Surgical treatment Circumcision UTI more in uncircumcised infants Prepuce as site of colonization Controversial low incidence of UTI even in uncircumcised infants may be justified in boys with urinary tract anomalies Obstructing lesions : Obstructing lesions Improves drainage Decrease UTI Pyeloplasty : Pyeloplasty Ureteric reimplantation : Ureteric reimplantation Ureteric reimplantation : Ureteric reimplantation Cystoscopic fulgration of PUV : Cystoscopic fulgration of PUV Cystoscopic incision of ureteroceles : Cystoscopic incision of ureteroceles VUR : VUR Recurrent break through infection Scarring Higher grade Older children Ureteric reimplantation Subureteric injection Dysfunctional voiding : Dysfunctional voiding Treat constipation Regular voiding Biofeedback therapy Anticholinergics CIC Neurogenic Bladder : Neurogenic Bladder Surgical therapy Not relived with conservative measures Difficulty to do CIC Small capacity bladder Bladder augmentation & appendicovesicostomy Slide 24: thank you You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Role of surgeon in treatment UTI praveenks97 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 211 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 15, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Role of surgeon in treatment of UTI : Role of surgeon in treatment of UTI Prof. M.K. Ajayakumar Prof. & HOD Dpt. of Paediatic Surgery Bacteriological factors : Bacteriological factors Organism & serology Virulence factrs Host factors : Host factors Perineum colonization with uropathologic bacteria Perpuce Urethra Dysfunctional elemination Anatomic abnormalites of urinary tract Immunologic factors Diagonosis : Diagonosis Urine analysis Routine Leukocyte esterase test Nitrite test Urine C&S Evaluvation : Evaluvation History Dysfunctional voiding Constipation Physical examination Flank mass Bladder distention Examination of genitalia Imaging : Imaging USS MCU 4- 6 weeks after UTI DMSA Slide 8: Dilated ureter Hydronephrosis Slide 9: VUR PUV Urodynamic studies : Urodynamic studies Dysfunctional voiding Uroprophylaxis : Uroprophylaxis For VUR Children < 1yr with documented pyelonephritis / renal scaring Surgical treatment : Surgical treatment Circumcision UTI more in uncircumcised infants Prepuce as site of colonization Controversial low incidence of UTI even in uncircumcised infants may be justified in boys with urinary tract anomalies Obstructing lesions : Obstructing lesions Improves drainage Decrease UTI Pyeloplasty : Pyeloplasty Ureteric reimplantation : Ureteric reimplantation Ureteric reimplantation : Ureteric reimplantation Cystoscopic fulgration of PUV : Cystoscopic fulgration of PUV Cystoscopic incision of ureteroceles : Cystoscopic incision of ureteroceles VUR : VUR Recurrent break through infection Scarring Higher grade Older children Ureteric reimplantation Subureteric injection Dysfunctional voiding : Dysfunctional voiding Treat constipation Regular voiding Biofeedback therapy Anticholinergics CIC Neurogenic Bladder : Neurogenic Bladder Surgical therapy Not relived with conservative measures Difficulty to do CIC Small capacity bladder Bladder augmentation & appendicovesicostomy Slide 24: thank you