My boss's daughter is pressing in the bladder/urethra area - she has had
an ultrasound which showed the bladder was a bit larger - they think the
urethra may not be able to drain all the urine and which is causing
pressure. Her doctor wants to do the following 1. Cystoscopy,
2. Calibration, 3. Dilatation and 4. Cystogram. Lauren was born June 9,
1997 and has only had one Urinary Tract Infection (UTI). Can you give
any advice on these tests or do you know of any parents who have had
this done on their child? Will Lauren grow out of it? Her doctor's
concern is reflux and UTI going into the kidneys, if she gets another
UTI in the future?
Urethral dilation for urinary tract infections was a common preactice approximately 15 to 20 years ago. However, this practice has fallen out of favor and is currently not felt to be worthwhile. The routine evaluation for the pediatric urinary tract infections is voiding cystourethrogram to rule out vesicoureteral reflux and renal ultrasound to ensure there is no blockage or hydronephrosis.
Urinary tract infections in children are a common problem. Bladder infections alone are not dangerous . However, reflux of urine into the kidney in combination with urinary tract infections can lead to kidney damage. Diagnosis of reflux in childhood must be made to prevent this damage. The evaluation of a child with recurrent UTI
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