No abstract

No abstract

Answers to the audience with the Government Advisory Committee on Infancy Politics Presentation of the answers delivered by the Board of Directors from the Chilean Paediatrics Society (SOCHIPE) to the Government Advisory Committee on Infancy Politics, including the paediatrician view on epidemiologic and demographic changes, its role in "Development and Behaviour in Paediatrics" and performance in infant primary health attention. It analyses SOCHIPE participation in human resources and health reform, with special emphasis in GES pathologies and chronic diseases impact, in relation to the available resources for health care. Finally, it discusses SOCHIPE mission in increasing the genetic potential expression of children and the biopsychosocial view of medicine.

Uretrocystography in Children: Parents' Perception Voiding cystourethrography (VCUG) has been usually consider as a painful and badly tolerated procedure in children. This opinion is not agree with local experience of the authors. Objective: To evaluate the parent's perception about VCUG in children before and after the procedure. Methods: In 2009, parents of children who came to Radiology Department for a VCUG completed an anonymous survey, including age and sex of their children, physician referent specialty, information received about the exam, expectation before and opinion after the procedure. Results: During 12 months 86 surveys were evaluated; patient's age was ranged between 1 month to 8 years with 52.3% (45) girls and 47.7% (41) males. Patients were referred from general pediatric in 59% or nephrology practice in 33%; 20% of the patients did not receive any information about the procedure before. About the expectation of VCUG, previous the exam, parents considered the examination as a pediatrician visit in 2.3%, uncomfortable in 26.7%, a little painful in 16.3%, painful in 21% and aggressive or terrible in 33.7%. After the examination, parents' opinion was: 24.4% as a pediatrician visit, 45.3% uncomfortable, 22.1% a little painful, 4.7% painful and 3.5% aggressive or terrible. The global parents' perception about VCUG after the exam improved in 66% cases, did not change in 29% and went worse in 5%. Conclusion: Parent's perception about VCUG in children signifi cantly improves after the procedure; in 91.8% the examination was considered uncomfortable or only a little painful.

ResumenUn nlfio de dos ofios de edod, sin antecedentes, consulto por dolor miccional y varies episodios de retencion urinaria, necesitando reiterados cateterismos vesicales. En la ultrasonografia se descubria uno mosa redonda, que en la cistoscopia rnostraba un pediculo cuya base estaba en lo uretra, cerca del cuello vesical. Se extrojo por via endoscopica, en coincidencio con lo cual los sintomas desaparecieron. La biopsia revel6 que se Irataba de un polipo uretral be^igno.[Palabras clave: vejiga, uretra, polipos, cistoscopia.j Benign urethral polyp: an anusual presentationA two year old boy consulted by repeated episodes of bladder outlet obstruction that needed emergency catheter drainage. After several ultrasound evaluations a 2 cm round intravesicol mass was detected. A; endoscopic examination a pedunculated mass fixed to the bladder neck and distal trigone was seen and excised. Definite histopatho'ogical diagnosis was oeniqn urelhra! polyp.