PEDIATRICS Vol. 93 No. 5 May 1994, pp. 845-849
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Summary of the Urologic Section

William E. Kaplan MD1

1 Neurologic Urology, Children's Urology, Ltd, Chicago, IL 60614

A meeting of the Section on Urology of the American Academy of Pediatrics was held in conjunction with the annual meeting of the American Academy of Pediatrics in Washington, DC, October 30 through November 1, 1993. This meeting continues to be the most significant scientific program for pediatric urology. Two hundred ninety-three abstracts were submitted worldwide, and the competition was fierce for the 91 accepted podium and poster presentations. Chairperson, Casimir F. Firlit, MD, PhD, of North-western University Medical School and Children's Memorial Hospital in Chicago, IL, presided over the meeting. The papers that were presented at this meeting and that are of interest to the practicing pediatrician are summarized in this article according to topic.

URETEROPELVIC JUNCTION OBSTRUCTION

This group of papers investigated both clinical management of ureteropelvic junction obstruction as well as some basic research concerns, all to determine what is the best method of management for newborns and young children with ureteropelvic junction obstruction. Early diagnosis by prenatal ultrasonography has only complicated decision-making processes relative to appropriate therapy. The combination of research protocols to evaluate the effects of obstruction as well as appropriate methods of management were presented.

Thomas et al, from Leeds, determined that the renal pelvic diameter measured on a 16- to 24-week fetus could help to determine ultimate renal function. If the in utero ultrasonograph revealed a renal pelvic diameter of >15 mm, impaired renal function was the determination. However, those kidneys that had a renal pelvic diameter <5 mm would have normal renal function even though hydronephrosis would be present at the time of birth.

Submitted on January 17, 1994
Accepted on January 20, 1994