I was with my son for abdominal ultrasound - all good, but the child has discrete stagnation in both kidneys without deposits and an enlarged bladder - 243 ml before micturition, 128 ml after micturition. My son probably has phimosis. We are about to visit a surgeon.
The volume of the bladder in a 4-year-old child, and the largest one, should be within 150 ml. A bladder as large as your son's is a normal volume for a 7-8-year-old. If, after urination, i.e. voiding, the bladder still contained a large amount of urine, as much as 128 ml, it means that the child cannot empty the bladder completely. This is one symptom of a severe bladder obstruction, rather than phimosis, which should be diagnosed quickly. An obstruction, if not treated, inevitably leads to serious damage to kidney function, and its first symptom is initially a slight stagnation in the kidneys, and then hydronephrosis and giant ureters.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Lidia Skobejko-WłodarskaSpecialist in pediatric urology and surgery. She obtained the title of European specialist in pediatric urology - fellow of the European Academy for Pediatric Urology (FEAPU). For many years he has been dealing with the treatment of bladder and urethral dysfunction, especially neurogenic vesico-urethral dysfunction (neurogenic bladder) in children, adolescents and young adults, using for this purpose not only pharmacological and conservative but also surgical methods. She was the first in Poland to start large-scale urodynamic tests, allowing to determine the function of the bladder in children. He is the author of many works on bladder dysfunction and urinary incontinence.
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