Annual Meeting of the Section on Pediatric Urology

Abstract

Summary of the Meeting, Oct 22-27, 1983 Received for publication Feb 27, 1984; accepted March 8, 1984. This summary of our proceedings is prepared for the practicing pediatrician, who often finds it impossible to attend all the sessions going on simultaneously at the annual meeting. The Section on Urology of the American Academy of Pediatrics met for three days in conjunction with the 52nd annual meeting of the Academy in San Francisco, and many topics of interest to both pediatricians and urologists were discussed. This summary will only include those papers. Papers dealing with particular surgical techniques will not be included, except when they have bearing on the ultimate management of particular problems that may be of interest to the practicing pediatrician. As has been customary in the past, the section meeting was topic oriented; this year stressed current research interests in pediatric urology. These topics included vesicoureteral reflux, prenatal ultrasound and renal dysplasia, urinary diversion, disorders of the testis, adjunctive diagnostic techniques in the evaluation of ureteral obstruction, and current status of management of posterior urethral valves. VESICOURETAL REFLUX Vesicoureteral reflux, despite its prevalence and voluminous literature, continues at times to present a management dilemma. One of the continuing problems facing the clinician is the observation that many children are seen for evaluation with about as much parenchymal atrophy as they seem likely to get. Studies by Ransley1 and Hodson et al2 have proposed that certain areas of the kidney are more vulnerable to parenchymal atrophy because of the presence of intrarenal reflux and that in the presence of infection and vesicoureteral reflux, these particular areas scar quickly and severely.