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Agenesis of Kidney / Renal Agenesis
Absence of a kidney, kidney fails to develop
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Horshoe Kidney
Two kidneys are joined at lower poles across midline of body.
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Polycystic Kidney
Multiple, large cysts in the kidneys
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Double Kidney
- Double renal pelvis, double ureter.
- Superior major calyces may have separate pelvis and partial or completely separate ureter.
- Most common congenital anomaly of urinary system.
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Ectopic Kidney
Kidney is out of place, usually in the pelvis.
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Exstrophy
Bladder may lie outside of the abdomen, with absence of anterior wall.
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Hypospadias
Urethra opens on inferior surface of penis.
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Epispadias
Urethra opens upon upper surface of penis.
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Benign Prostatic Hyperplasia / BPH
Enlarged prostate
- Benign
- Affects males over 50
- Can cause urethral compression and obstruction
- Can cause painful, frequent urination
Floor of bladder may appear elevated or indented on IVU.
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Duplication of ureter and renal pelvis
- Congenital anomaly
- Two ureters and / or two renal pelvi originating from a single kidney.
- Most common congenital anomaly of urinary system
- Normally does not cause a health concern for patient
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Ectopic Kidney
- Congenital Anomaly
- Normal kidney which fails to ascend into the abdomen and remains in the pelvis.
- Shorter than normal ureter
- Not normally a health concern, but may cause difficulties with pregnancy in women
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Horseshoe Kidney
- Congenital anomaly
- Fusion of the kidneys during fetal development
- Normally involves fusion of lower poles
- Kidneys do not ascend to abdomen
- Usually does not affect function of kidneys
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Malrotation of Kidneys
- Congenital anomaly
- Abnormal rotation of the kidney
- Renal pelvis is turned anteriorly or posteriorly rather than medially
- Normally not a health problem for the patient
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Polycystic Kidney Disease
- Cysts scattered throughout one or both kidneys.
- Most common cause of enlarged kidneys.
- Can be genetic or congenital.
- Infantile, childhood, or adult type < adult type is hereditary - disease is present at birth but symptoms not seen until adulthood >
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Renal Hypertension
- Increased blood pressure to the kidney through renal artery due to atherosclerosis.
- Caused by excess renin in blood which causes excessive vasoconstriction.
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Severe Renal Hypertension
Can result in localized necrosis of renal parenchyma.
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Vesicorectal ( vesicocolonic ) Fistula
Fistula between urinary bladder and rectum or aspects of colon.
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