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Urology (Expert Forum)
Ureatal Stenosis
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Ureatal Stenosis
by JD__0, Mar 09, 1999 12:00AM
My son just saw his pediatrician for continual wetting during the day. My son is 5 1/2 and does still wet every night. He began having daytime accidents about 2 weeks ago. He did have a fever for 4 days, I thought was the flu that is going around. Today, the doctor tested his urine, foune his protein level at 2+ and said his urine had a lot of "junky stuff" in it. he also said his opening to his penis is small, and that could be why he wets at night still. He referred us to a pediatric urologist out of Children's Memorial in Chicago. Until then, I am wondering what exactly is this? The doctor said the protein count is higher than he would like to see. He told us to watch for swelling, fever and blood in the urine. Is this something that can be treated, any tests suggested??? Thank you for taking the time to read this.
Doctor's Answer
by hfhs M.D.-AK, Mar 09, 1999 12:00AM
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Dear JD,
The first objective is to make sure that your child’s fever was not secondary to a urinary tract infection. A second thought is that your child may have an unstable bladder. This is a frequent problem that can start anytime during childhood. The bladder is hyperactive and tries to empty frequently, often without warning. The child with this problem may run to the bathroom, have many accidents and try to hold him/herself to prevent leakage. They may feel the urge to go but may be unable to pass any urine. This problem may in some cases be related to urinary tract infections, constipation, stress at home or use of caffeine. In most cases, the problem improves with age, although it can be treated by school age if wetting during the day is embarrassing to the child.
Children with wetting problems are examined, their urine is checked for infection and they may be asked to urinate into a machine that checks how fast they urinate (UROFLOW). In some cases, an ultrasound of the kidneys and bladder is ordered to check for any anatomic abnormalities.
Treatment of voiding dysfunction if mild and negative testing is usually observed and interval check-ups are performed. If other problems are found, these will be treated appropriately. If the symptoms are severe, medication maybe recommended.
To address the protein in the urine, I would have a repeat urinalysis performed before I became worried about a dipstick urine showing protein. Many times the protein in the urine is a result of your child’s recent activities (exercise) or possibly infections. If your child is healthy, my suspicion would be low, but I would repeat the test.
Go see the urologist and follow your doctor’s work-up. Make sure they test for infection before any tests are performed. The urinalysis testing for infection should also test for protein in the urine.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Incontinence
