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小儿泌尿生殖系统异常的管理:探寻小儿外科与小儿泌尿外科之间的界限

Management of Pediatric Genitourinary Anomalies: Navigating the Borderline Between Pediatric Surgery and Pediatric Urology.

作者信息

Sanni Quadri A, Solagbade Remi, Giwa Aminat, Aro Waliyu I, Tsejime James, Anyaegbu Ejike, Mehmood Moazam

机构信息

Urology, South Warwickshire University NHS Foundation Trust, Warwick, GBR.

Urology, University of Ilorin Teaching Hospital, Ilorin, NGA.

出版信息

Cureus. 2025 Aug 21;17(8):e90702. doi: 10.7759/cureus.90702. eCollection 2025 Aug.

DOI:10.7759/cureus.90702
PMID:40984899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12450251/
Abstract

Pediatric surgery and pediatric urology are two surgical specialties that are interwoven yet have different career paths. This review aims to elaborate on the interactions and various models of practice between pediatric surgery and pediatric urology across different continents. A literature search was done using different databases, including PubMed, Medline, Scopus, and Google Scholar. There is significant overlap between pediatric surgery and pediatric urology in the management of pediatric congenital and acquired genitourinary conditions. On the subcontinent in particular, training pathways and availability of these specialties depend largely on subregional protocols. Generally, there are distinct training, clinic, and referral pathways in high-income countries (HICs) as opposed to low- and middle-income countries (LMICs), where there is a severe shortage of specialists and less distinct training guidelines. The intersection between pediatric urology and pediatric surgery represents a dynamic and evolving frontier in pediatric surgical care. While the two specialties are distinct in their training and focus, they frequently converge in managing a wide range of congenital and acquired genitourinary conditions in children.

摘要

小儿外科和小儿泌尿外科是两个相互交织但职业道路不同的外科专业。本综述旨在阐述不同大陆上小儿外科和小儿泌尿外科之间的相互作用及各种实践模式。使用了包括PubMed、Medline、Scopus和谷歌学术在内的不同数据库进行文献检索。在小儿先天性和后天性泌尿生殖系统疾病的管理方面,小儿外科和小儿泌尿外科存在显著重叠。特别是在次大陆,这些专业的培训途径和可及性在很大程度上取决于次区域协议。一般来说,高收入国家(HICs)与低收入和中等收入国家(LMICs)有不同的培训、门诊和转诊途径,低收入和中等收入国家专科医生严重短缺,培训指南也不那么明确。小儿泌尿外科和小儿外科的交叉领域代表了小儿外科护理中一个动态发展的前沿。虽然这两个专业在培训和重点方面有所不同,但在管理儿童广泛的先天性和后天性泌尿生殖系统疾病时,它们经常会有交集。