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June 2, 1951


Author Affiliations

New Orleans

From the Department of Urology, Ochsner Clinic, and the Division of Urology, Tulane University of Louisiana School of Medicine.

JAMA. 1951;146(5):419-423. doi:10.1001/jama.1951.03670050001001

It is not intended here to present a report on the infinite varieties of congenital anomalies of the urinary tract, but rather to outline a plan of management of two large groups of patients, namely, those with congenital obstructive lesions and those with exstrophy of the bladder, hypospadias or epispadias.

CONGENITAL OBSTRUCTIVE LESIONS  Congenital lesions producing obstruction to the outflow of urine may be found at any point in the urinary tract from the ureteropelvic junction to the urethral meatus. Since they are frequently multiple, it is of utmost importance for one to study all parts of the tract thoroughly before instituting a plan of therapy. Surgical relief of obstruction in the upper urinary tract may well be nullified by a comparatively innocent-looking lesion at a lower level. Most commonly, obstructing lesions will be found at or near the ureteropelvic or ureterovesical junction and at the vesical neck.Congenital obstructions