Case: Anuria and acute renal failure post-endoscopic valve ablation and Foley catheter insertion in a newborn with a small-capacity, non-compliant bladder

Dekirmendjian, Adriana; McGrath, M. A.; Braga, Luis H.

doi:10.5489/cuaj.4466

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…In addition, a thick-walled and poorly compliant newborn-sized LUTO bladder collapses and contracts around the balloon, which may result in bilateral UVJ obstructions with worsening of the HUN and renal function. 60,61 Another common method is to use feeding tubes as they are typically available in a smaller calibre and lack a balloon near the tip, with the thought that they are better tolerated. The disadvantage of this method is that these tubes are difficult to secure, thus making them prone to dislodgement, and with overcoiling in the bladder there is a risk of it requiring surgical removal (Figure 8).…”

Section: Lower Urinary Tract Obstructionmentioning

confidence: 99%

“…Foley catheters are widely available and inserting them is considered a basic medical skill; however, the balloon may be inadvertently inflated in the posterior urethra (Figure 7). In addition, a thick‐walled and poorly compliant newborn‐sized LUTO bladder collapses and contracts around the balloon, which may result in bilateral UVJ obstructions with worsening of the HUN and renal function 60,61 . Another common method is to use feeding tubes as they are typically available in a smaller calibre and lack a balloon near the tip, with the thought that they are better tolerated.…”

Section: Etiologies and Suggested Initial Managementmentioning

confidence: 99%

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Prenatal hydronephrosis: Bridging pre‐ and postnatal management

et al. 2022

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Urinary tract dilation (UTD), including hydronephrosis (HN) is the most common prenatally detected anomaly and affects up to 1%–2% of pregnancies. Postnatally, it resolves without surgical intervention in approximately 75%–80% of children, however this may take several years to occur, necessitating repeated clinic visits and additional invasive testing for many. For the remainder, a surgical intervention will be offered to relieve obstruction or to correct vesicoureteral reflux. During the monitoring period, many of these infants will be offered continuous antibiotic prophylaxis for the prevention of urinary tract infections, however this remains a controversial topic among pediatric urologists and nephrologists. Herein, we present an up‐to‐date review of the early management of prenatally detected UTD including timing of postnatal imaging, the use of antibiotics, when circumcision may be beneficial and long term outcomes of the most common HN etiologies. We also propose a decision making tool to help guide the care of infants with UTD.

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Section: Lower Urinary Tract Obstructionmentioning

confidence: 99%

Section: Etiologies and Suggested Initial Managementmentioning

confidence: 99%