Pediatric Surgeon Template

Lower urinary tract symptoms (LUTS) template

A professional Pediatric Surgeon template for healthcare professionals.

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Specialty

Pediatric Surgeon

Used

6 times

Type

Document

Last edited

5/09/2024

Created by

Bhavesh Patel

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About this template

This Lower Urinary Tract Symptoms (LUTS) template is designed for pediatric surgeons to document and manage cases of incontinence and urinary tract infections in children. The template includes sections for current patterns and habits, diet, impact, examination, and investigations, providing a comprehensive overview of the patient's condition. It also outlines a detailed plan for treatment, including timed voiding, dietary recommendations, and hygiene advice. This template is ideal for pediatric surgeons looking for a structured way to document and treat LUTS in young patients, ensuring all relevant information is captured efficiently.

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Issue: Incontinence / UTIs Plan: - Timed incentivised regular voiding - Treat constipation as required (only sometimes firm and difficult to pass) - Footstool to help with bowel motions - Worm treatment - Hygiene advice - Probiotics - High fibre diet with whole foods - Green smoothies – https://www.betterkids.com.au/green-smoothies - Cranberry / D-Mannose Thank you for asking me to see Emily Johnson. Current pattern / habits Emily Johnson admits to passing urine 3 times per day. She finds they are a little wet at times, and doesn't realise when it happens. Sometimes the bowels are a little firm and difficult to pass. Diet She drinks plenty of water during the day, and Mum reports plenty of fibre in the diet. Impact Examination The urinary stream is good, and there is no post void dribbling / incontinence to make me suspicious of labial fusion. I haven't examined specifically for this as it is quite invasive in this age group. Investigations Recent ultrasound results show normal findings with no abnormalities in the kidneys, bladder volume, or post void residual urine. As a surgeon I don't think there is any pathology requiring surgical treatment. We discussed the usual strategies for bladder / bowel optimisation. Another option is to try physiotherapy with biofeedback techniques to help them understand body dynamics further. Thanks again for your referral Dr. Thomas Kelly. Please let me know if I can help further.