PEDIATRIC UROLOGY BOOK
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PEDIATRIC UROLOGY BOOK


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PAEDIATRICUROLOGY
ESSENTIALSOF
This excellent and superbly illustrated text provides surgical trainees and non-specialists with an updated and
extensively revised account of the urological disorders of childhood. The second edition reflects the many
advances and innovations in paediatric urology since the first edition was published in 2002 and incorporates
suggestions and feedback from readers and reviewers of the first edition of Essentials of Paediatric Urology.
There are new chapters such as \u201cMinimally invasive paediatric urology\u201d, which covers the innovative and
rapidly advancing contribution made by laparoscopic surgery to effective patient care and "The Child as a
Patient", which highlights the important differences of approach to caring for children and adults and provides
clarification of the legal and ethical issues surrounding consent. There is also a new multiple choice question
chapter with cross-references to the text, as requested by many readers of the first edition, thus providing an
aide-memoire for those undergoing speciality examinations.
This popular text was never intended to duplicate the large reference books written primarily for specialists.
Instead it fulfils a unique role as the only textbook of paediatric urology written primarily for trainees and
those practising adult urology, paediatric surgery and paediatric urology. The second edition continues to
meet this need as well as providing a ready source of reference for non-specialists including paediatricians
and nurses. Like the first edition, the second is accessible and concise with a visual format characterised by
extensive use of colour illustrations, flow charts and diagrams.
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Textbook of the Neurogenic Bladder: Adults and Children, 2nd Edition
Edited by Jacques Corcos and Erik Schick
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Minimally Invasive Approaches to Pediatric Urology
Edited by Steven G Docimo
ISBN 978-1-84184-170-0
SECOND
EDITION
ESSENTIALSOF
PAEDIATRICUROLOGY
SECOND ED IT IONEDITED BY
DAVID FM THOMAS
PATRICK G DUFFY
ANTHONY MK RICKWOOD
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Essentials of
Paediatric Urology
Second Edition
Edited by
David FM Thomas FRCP FRCPCH FRCS
St James\u2019s University Hospital
Leeds, UK
Patrick G Duffy MB BCH BAO FRCS(I) FEBU
Great Ormond Street
Hospital for Sick Children
London, UK
Anthony MK Rickwood MA FRCS
Formerly of Royal Liverpool
Hospital for Sick Children
Liverpool, UK
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© 2008 Informa UK Ltd
First published in the United Kingdom in 2002
Second edition published in the United Kingdom in 2008 by Informa Healthcare, Telephone House, 69-77 Paul Street,
London EC2A 4LQ. Informa Healthcare is a trading division of Informa UK Ltd. Registered Office: 37/41 Mortimer Street,
London W1T 3JH. Registered in England and Wales number 1072954.
Tel: +44 (0)20 7017 5000
Fax: +44 (0)20 7017 6699
Website: www.informahealthcare.com
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by
any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher or in accor-
dance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of any licence permitting limited
copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1P 0LP.
Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication, we
would be glad to acknowledge in subsequent reprints or editions any omissions brought to our attention.
Although every effort has been made to ensure that drug doses and other information are presented accurately in this publication,
the ultimate responsibility rests with the prescribing physician. Neither the publishers nor the authors can be held responsible for
errors or for any consequences arising from the use of information contained herein. For detailed prescribing information or instruc-
tions on the use of any product or procedure discussed herein, please consult the prescribing information or instructional material
issued by the manufacturer.
A CIP record for this book is available from the British Library.
Library of Congress Cataloging-in-Publication Data
Data available on application
ISBN-10: 1 84184 633 3
ISBN-13: 978 1 84184 633 0
Distributed in North and South America by
Taylor & Francis
6000 Broken Sound Parkway, NW, (Suite 300)
Boca Raton, FL 33487, USA
Within Continental USA
Tel: 1 (800) 272 7737; Fax: 1 (800) 374 3401
Outside Continental USA
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Paul Abrahams
Tel: +44 (0)207 017 4036
Email: bookorders@informa.com
Composition by C&M Digitals (P) Ltd, Chennai, India
Printed and bound in India by Replika Press Pvt Ltd
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To our wives: Marilyn, Zara and Valerie.
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Contents
List of Contributors ix
Preface xi
Acknowledgements xiii
1 Embryology 1
David FM Thomas
2 Renal physiology and renal failure 15
Richard Trompetor
3 Diagnostic imaging 25
Melanie P Hiorns
4 Urinary tract infection 43
Stuart J O\u2019Toole 
5 Vesicoureteric reflux 57
David FM Thomas and Ram Subramaniam
6 Upper tract obstruction 73
David FM Thomas 
7 Duplication anomalies, ureterocoeles and ectopic ureters 93
Anthony MK Rickwood, Nicholas P Madden and Su-Anna M Boddy
8 Posterior urethral valves and other urethral abnormalities 109
Divyesh Desai and Patrick G Duffy
9 Cystic renal disease 121
David FM Thomas
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10 Prenatal diagnosis 133
HK Dhillon
11 Stone disease in children 143
Patrick G Duffy, David FM Thomas and Martyn E Flett 
12 Urinary incontinence 157
Henrik A Steinbrecher, Padraig S Malone and Anthony MK Rickwood 
13 Neuropathic bladder 171
Henrik A Steinbrecher, Padraig S Malone and Anthony MK Rickwood
14 The urinary tract in anorectal malformations,
multisystem disorders and syndromes 189
Duncan T Wilcox
15 Bladder exstrophy and epispadias 199
Peter Cuckow 
16 Hypospadias 213
Duncan T Wilcox and Pierre DE Mouriquand
17 The prepuce 233
Kim AR Hutton
18 Testis, hydrocoele and varicocoele 247
Nicholas P Madden
19 The acute scrotum 265
David FM Thomas
20 Disorders of sex development 275
Henri Lottman and David FM Thomas
21 Genitourinary malignancies 295
Patrick G Duffy and Neil J Sebire 
22 Urogenital trauma 307
David FM Thomas
23 Laparoscopic paediatric urology 317
Imran Mushtaq
Contentsvi
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Contents vii
24 Adolescent urology 331
Christopher RJ Woodhouse
25 Children and young people as urological patients 341
David FM Thomas
Appendix I Self-assessment section: Questions 349
Appendix II Self-assessment section: Answers 371
Index 375
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Contributors
Su-Anna M Boddy MS FRCS
Department of Paediatric Urology
St George\u2019s