Feb 01 2024
February 1, 2024

Grand Rounds in Pediatric Nephrology – an ISN-IPNA Sister Centers initiative: Nephro-Uro Crosstalk – A Nephrologist’s Perspective on Bladder Management

  • 12:00 PM CET
This webinar addresses bowel and bladder dysfunction, common in children with conditions like vesical-ureteric reflux (VUR), leading to recurrent urinary tract infections that can damage the kidneys and accelerate the decline to kidney failure. The session focuses on a case of complicated infections, discussing practical aspects of urotherapy, bowel management, and our current approach to bladder management in children with VUR.

Learning objectives:

  • Understand the Role of Bowel and Bladder Dysfunction as a Risk Factor for Recurrent Urinary Tract Infections
  • Grasp General Principles for Managing Recurrent Urinary Tract Infections in Children to prevent Kidney Failure
  • Develop Practical Skills in Performing Urotherapy
  • Gain Proficiency in Bowel Management for the Pediatric Nephrologist

Further reading:

  1. Nieuwhof-Leppink AJ, Hussong J, Chase J, Larsson J, Renson C, Hoebeke P, Yang S, von Gontard A. Definitions, indications and practice of urotherapy in children and adolescents: – A standardization document of the International Children’s Continence Society (ICCS). J Pediatr Urol. 2021 Apr;17(2):172-181. doi: 10.1016/j.jpurol.2020.11.006. Epub 2020 Nov 5. PMID: 33478902.
  2. Yang, S., Chua, M.E., Bauer, S. et al. Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: a position statement from the International Children’s Continence Society. Pediatr Nephrol 33, 2207–2219 (2018). https://doi.org/10.1007/s00467-017-3799-9
  3. Klijn AJ, Asselman M, Vijverberg MA, Dik P, de Jong TP. The diameter of the rectum on ultrasonography as a diagnostic tool for constipation in children with dysfunctional voiding. J Urol. 2004 Nov;172(5 Pt 1):1986-8. doi: 10.1097/01.ju.0000142686.09532.46. PMID: 15540772. 


Rukshana Shroff (UK)


Lorna Lourdes Simangan (Philippines)

Marnelle Gay Yandra Aramburo (Philippines)

Gayathri Raman (Australia)

Aniruddh Deshpande (Australia)