1 Departments of Radiology and Surgery (Urology), The Children's Hospital Medical Center, 300 Longwood Avenue, Boston, Massachusetts 02115
We are delighted that the Section on Urology of the American Academy of Pediatrics has formed the Action Committee on Minimum Necessary Surveillance of the Child with Myelomeningocele and that guidelines have been formulated and are being publicized.1 In our experience this emphasis is long overdue and we heartily endorse the committee's recommendations.
However several clarifications of the committee's guidelines are in order.
(1) The committee recommends that baseline blood urea nitrogen and serum creatinine determinations be done shortly after birth.