5-and-a-half-year-old Satsuki (pseudonym) often wets his pants during the day because he often does not involuntarily urinate during the day, but he sleeps at night and has no signs of urinary incontinence. I went to the hospital for examination, and there was no obvious abnormality in the improvement of urinary system B ultrasound and urine routine in the outer hospital, and after observing for a period of time, there was still a manifestation of wet pants during the day, which seriously affected Xiaoyue's quality of life~~~
So, with apprehension, the parents came to the Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital for treatment, and the outpatient doctor recommended hospitalization after careful medical history, and improved the urinary magnetic resonance (MRI) examination, which showed repeated kidney repeated ureters and hydronephrosis.
After hospitalization, the doctor performed minimally invasive surgery on Satsuki with laparoscopy, and the postoperative urine leakage disappeared, and the hydronephrosis improved significantly, and she has been successfully discharged from the hospital.
Younger children may not have the habit of controlling urination, but if the child has been suffering from urinary incontinence since childhood, and urinary incontinence occurs between two normal urinations, we should highly suspect that the child has the possibility of repeated kidney malformation.
Popular science on maternal and child health
What is a duplicate kidney?
Duplex kidney is a more common congenital malformation of the kidney and ureter, with an incidence of about 1/1500, and the duplicate kidney is not an extra kidney, most of which are fused into one and cannot be separated, and there is a shallow groove on the surface, with their respective renal pelvis, ureters and blood vessels. Duplicate kidneys can be unilateral or bilateral, and duplicate kidneys and repetitive ureters are often present at the same time, and can open in the bladder or ectopic in the urethra, vestibule, or vagina.
What are the symptoms of duplicate kidneys?
1. Some repetitive ureteral malformations in which the ureters open in the bladder, such cases have no clinical symptoms at all, and are only detected during a comprehensive urological examination. Such patients account for about 60%. (See Figure 1)
Fig.1 Repeating the renal repeating ureteral opening in the normal bladder position
2. Repeated kidney may be accompanied by symptoms such as pyelitis, kidney stones, tuberculosis, tumors, and hydrops.
3. There are also some duplicate renal repeat ureteral malformations, and the ureters open in the vulva, vestibule, vagina, etc. As a result, the child has a history of enuresis since childhood, wetting the bed at night, and often wet pants during the day, but the patient has normal urination activities. If there is a history of this, careful examination of the vulva often reveals an abnormal ureteral opening. (See Figure 2)
Fig.2 Abnormal position of the opening of the repeat renal repeat ureter
and accompanied by hydroureters
Do duplicate kidneys need to be treated? What happens if the kidney is left untreated?
1. Patients with no clinical symptoms, no hydronephrosis and no renal impairment do not need surgical treatment;
2. Patients with mild symptoms may have vulvar skin eczema, itching and peculiar smell due to repeated wet pants, and may have psychological effects in adulthood; Patients with severe symptoms may have recurrent urinary tract infections, hydronephrosis, impaired kidney function, and even affect the function of the kidneys in the lower normal group. Therefore, symptomatic children should be actively examined and treated in a regular specialist hospital.
Repeat the surgical modus elegia
Laparoscopic minimally invasive surgery: repetitive kidney with clinical symptoms needs to be surgically treated, and the current use of laparoscopy for urinary system surgery has been very mature, it has the advantages of quick recovery after trauma, light pain, and beautiful surgical opening, etc., which has been accepted by the majority of doctors and patients' relatives, and has been carried out rapidly, and has gradually become a routine operation in pediatric urology.
Our department can routinely carry out laparoscopic minimally invasive surgery for a variety of urological diseases, and is one of the few hospitals in Guangxi that can perform pediatric laparoscopic urological surgery.
Instructions for medical appointments
General Surgery, Urology
(Xinyang Campus)
Scope of business
1. Kidney: ureteral junction obstruction, duplicate kidney, kidney tumor, kidney cyst, polycystic kidney, dysplastic kidney, ectopic kidney, etc.;
2. Bladder and ureter: bladder stones, bladder tumors, bladder exstrophy, giant ureter, ureteral reflux, ureteral ectopic opening, umbilical urethral fistula, etc.;
3. Testicles, penis, urethra: cryptorchidism, testicular tumor, testicular ectopia, hydrocele, long foreskin, phimosis, hypospadias, penile curvature, occult penis, webbed penis, penoscrocal fusion, urethral trauma, urethral valve, hermaphroditism, etc.
Consultation telephone
Outpatient: 0771-5802113
Nurse Station: 0771-5802090/
0771-5802293
Doctor's Office: 0771-5802034
The medical staff of the Department of General Surgery and the Department of Urology (Xinyang Campus) will uphold the tenet of patient first and quality first, and wholeheartedly provide high-quality services for the majority of patients. We warmly welcome children and patients from inside and outside the district to seek medical treatment.
Expert Profile
Chen Jiarong
Deputy Director of the Department of Pediatric Urology and Deputy Chief Physician
Professional and technical expertise: engaged in pediatric surgery for more than 10 years, with solid professional theoretical knowledge and rich clinical experience, familiar with pediatric laparoscopy, pediatric general surgery disease diagnosis and treatment, good at pediatric urology common and difficult disease diagnosis and treatment, pediatric cryptorchidism, hydronephrosis, repeated kidney, ureteral reflux, megaureter, kidney tumor, testicular tumor, hypospadias, occult penis and other penile malformations have rich surgical experience, especially in laparoscopic minimally invasive treatment of hydronephrosis, nephroureteral malformation and other diseases. It was the first in Guangxi to carry out laparoscopic pneumocystoeteric ureteral replantation surgery for the treatment of hydronephrosis, and has always maintained a leading level.
Academic and social positions: member of the Pediatric Urology Specialty Alliance of the National Children's Medical Center, member of the Urology Professional Committee of Futang Children's Medical Development Research Center, member of the Pediatric Surgery Branch of Guangxi Medical Doctor Association, and member of the expert group of Guangxi Congenital Structural Malformation Relief Project.
Visiting hours: Monday and Thursday all day (Xinyang Campus)
Photo: 丨Lan Xuanyang