Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of megaureter, identified via [prenatal ultrasound / incidental imaging]. Current symptoms include [asymptomatic / recurrent UTI / flank pain / hematuria / failure to thrive]. No history of [fever / voiding dysfunction / constipation]. Family history significant for [renal anomalies / VUR].
Clinical Examination Findings
Abdominal examination reveals [soft/non-tender abdomen / palpable mass in the flank]. Genitourinary exam: [normal external genitalia / evidence of meatal stenosis]. Bladder status: [non-distended / palpable bladder]. Assessment of growth parameters: [within normal percentiles / failure to thrive].
Treatment Protocol
Management plan: [Conservative observation with serial renal ultrasound and MAG3 scan / Antibiotic prophylaxis / Surgical intervention via ureteral reimplantation]. Monitoring for [breakthrough UTI / worsening hydronephrosis / decline in differential renal function]. Follow-up scheduled in [3/6 months].