Document Detail

Radiological findings of the urinary tract in hypospadias: a report of 110 cases.
MedLine Citation:
PMID:  466947     Owner:  NLM     Status:  MEDLINE    
One hundred and ten patients with hypospadias underwent excretory urography and micturating cysto-urethrography before surgical correction. Urographic studies revealed abnormalities in 50 patients (45%), mainly anomalies of ascent and rotation of the kidneys. None of these patients required corrective surgery. Voiding cysto-urethrography disclosed disease of the urinary tract in 65 of 110 patients (59%). Meatal stenosis was found in 38 patients and a rudimentary vagina or a prostatic utricle was revealed in 11 others. Vesico-ureteral reflux was present in 14 patients, seven of whom had meatal stenosis as well. Cystitis was found in eight and a stricture of the membraneous urethra in one patient. The voiding cysto-urethrogram is able to demonstrate functionally significant meatal stenosis, genital abnormalities and vesico-ureteral reflux. It can also serve as a useful baseline for comparison with postoperative studies. We therefore consider that it should be included in the preoperative work-up of every patient with hypospadias. Excretory urography, however, is perhaps indicated only in those with urinary tract infection, or in patients otherwise symptomatic.
J Rozenman; M Hertz; H Boichis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical radiology     Volume:  30     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  1979 Jul 
Date Detail:
Created Date:  1979-10-24     Completed Date:  1979-10-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  471-6     Citation Subset:  IM    
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MeSH Terms
Child, Preschool
Hypospadias / complications,  radiography*,  surgery
Infant, Newborn
Kidney / abnormalities
Middle Aged
Retrospective Studies
Urethra / radiography
Urinary Bladder / radiography
Urologic Diseases / etiology,  radiography

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