Obstruction of the Bladder Neck in Children

Abstract

Recognition of the earlier symptoms of obstruction of the bladder neck in children will enable the physician to initiate definitive treatment at a stage when uncomplicated recovery can be expected.

Infection frequently complicates obstruction of the vesical neck, and if pyuria constitutes the first indication for study of the urinary tract it is probable that earlier symptoms were overlooked.

Urologic investigation should be mandatory when a male child has had one attack of infection and when a female child has had two.

Any abnormality of the voiding pattern in children, with or without infection, demands examination of the urinary tract. A high degree of suspicion will permit salvage of renal tissue.