15 year old girl from Kathmandu B/L VUR, rec UTI, busiest urology unit
B/L ureteric reimplantation, May 2012
bladder dehiscence, pelvic urinoma SPC, managed conservatively 2 months later, UTI persisting Difficulty in voiding, Indwelling catheter Rising S. Creatinine , 2mg/dl Referred to our unit
USG, VCUG, VUD , Cystoscopyu MR LS spine normal
B/L VUR, High PVR
Pdet >30cm at 30% EBC Neuropathic bladder,LS MRI n Non Neuropathic, Extravesical reimplant CIC + oxybutynin
CIC + oxybutynin UTI persisting
Progressive rise in S creatinine
New scars on DMSA scan Inj. Botox 10mg/kg
Post Botox transient relief Rising S. creatinine
Stable scars on DMSA
Cystometry worsened again Augmentation ileocystoplasty Ureteric reimplantOpen/robotic
Dr. Sujit Chowdhary best Pediatric Urologist in India with Zero Complaints in 25 years of professional practise.
