Andrew A. Stec

OVERVIEW: What every practitioner needs to know A rare, but encountered issue in pediatrics is the child with a congenital malformation of the bladder. Both urachal anomalies and congenital bladder diverticulum are outpouchings in an otherwise smoothly contoured bladder. Urachal anomalies tend to be picked up by physical exam, and diverticula are usually noted on…

OVERVIEW: What every practitioner needs to know Are you sure your patient has bladder exstrophy? What are the typical findings for this disease? Bladder exstrophy is a rare congenital birth defect that has severe manifestations in the lower urinary tract, bladder, genitalia, abdominal wall, and bony pelvis. This is one of the largest surgically correctable…

OVERVIEW: What every practitioner needs to know Are you sure your patient has a neuropathic bladder? What are the typical findings for this disease? Normal bladder function requires coordination between the cerebral cortex, somatic and autonomic nervous system, and the bladder smooth muscle and urinary sphincter. A neurologic insult at any level of this system…