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October 6, 1989

Urologic Surgery in Neonates and Young Infants

JAMA. 1989;262(13):1863. doi:10.1001/jama.1989.03430130139051

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The past decade has produced profound changes in pediatric urology. The advent of prenatal ultrasound has led to antenatal diagnosis and early treatment of many lesions. As so often occurs, pediatric urologists are faced with solving clinical problems without a complete database that will outline the natural history of the lesion and thereby guide therapy. This volume attempts to highlight areas of controversy produced by these incomplete databases and to provide further information for the practitioner.

Cook and Stephens have provided a review of normal embryology as well as pathoembryology. Additionally, they expanded upon the role of deformation in the production of many of the abnormalities associated with urologic problems. The next two chapters deal with in utero ultrasonic detection of urologic abnormalities. In some ways, one might interpret these chapters as viewing the glass as either half empty or half full, respectively, with regard to fetal intervention. It is