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Paediatric Urology

Created: 7/4/2005




  • Peri-natal urology - embryology of renal tract, anatomy and physiology.
  • Assessment of renal function in the neonate
  • Antenatal diagnosis and management of anomalies. Management in neonate
  • The foreskin, its anomalies and complications. Circumcision - its history, indications, techniques, results and complications. Relationship to penile cancer
  • The undescended testis - the current views on aetiology, presentation, diagnosis, management and its association with infertility and testicular tumours. The acute scrotum in childhood. Torsion of testis and torsion of Hydatid. Scrotal swellings in childhood, congenital hydrocoele and its management.
  • Penile abnormalities; hypospadias - clinical assessment and principles of surgical correction. Chordee, epispadias and micropenis - general principles.
  • The diagnosis and rational; approach to investigation of urinary tract infection in neonates and in childhood. The significance of urinary tract infection in boys and in girls
  • Vesico-ureteric reflux; its pathophysiology, grades of severity, implications for renal function, assessment and management. Principles and rationale of surgical treatment
  • Renal masses and their differential diagnosis. Pathology and management of Wilms’ tumour
  • The assessment and management of urinary incontinence in childhood
  • Pelvi-ureteric junction obstruction - its nature, pathophysiology, presentation, diagnosis and treatment including an appreciation of the diagnostic problems and the relative roles of the available investigational modalities. Duplications of the upper urinary tract and ectopia; understanding of basic anatomy and of clinical relevance
  • The "wide ureter" classification, diagnosis and management
  • The clinical diagnosis of posterior urethral valves
  • A general understanding of other congenital conditions (eg prune belly syndrome)
  • which can be associated with urological abnormalities
  • Intersex - basic overview including clinical diagnosis and principles of surgical of common conditions such as congenital adrenal hyperplasia
  • Imaging techniques in children; differences to investigation of adults. The role and interpretation of antenatal ultrasound detection of urinary tract abnormalities in the foetus

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