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What Is Pediatric Urology?

Pediatric urology is a surgical subspecialty of medicine dealing with the disorders of children’s genitourinary systems. Pediatric urologists provide care for both boys and girls ranging from birth to early adult age. The most common problems are those involving disorders of urination, reproductive organs and testes.

When your child has a urinary problem or injury, look at all of his or her symptoms to determine what steps to take next. The urethra, bladder, ureters, and kidneys are the structures that make up the urinary tract .

Diagnosis

The American Academy of Pediatrics (AAP) criteria for the diagnosis of UTI in children 2-24 months are the presence of pyuria and/or bacteriuria on urinalysis and of at least 50,000 colony-forming units (CFU) per mL of a uropathogen from the quantitative culture of a properly collected urine specimen.

Urinalysis alone is not sufficient for diagnosing UTI. However, urinalysis can help in identifying febrile children who should receive antibacterial treatment while culture results from a properly collected urine specimen are pending.

Signs and symptoms

  • The history and clinical course of a UTI vary with the patient’s age and the specific diagnosis. No one specific sign or symptom can be used to identify UTI in infants and children.
  • Children aged 0-2 months
  • Neonates and infants up to age 2 months who have pyelonephritis usually do not have symptoms localized to the urinary tract. UTI is discovered as part of an evaluation for neonatal sepsis.
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