Editing Pediatrics: Neuromuscular Disorders of the Lower Urinary Tract (section)

== Conditions of the Pelvis ==

* '''Anorectal Malformation'''
** A wide spectrum of diseases involving the distal anus and rectum as well as the urinary and genital tracts
** Presentation
*** Urinary tract abnormalities in 26-52% of affected children, with '''renal agenesis (primarily left-sided) and VUR as the most common associated findings'''
*** '''The cause of neurogenic bladder in these children is most commonly associated with a spinal cord abnormality'''
** Specific Recommendations
*** Initial evaluation in the neonatal period should include a careful inspection of the perineum looking for a fistulous site from the bowel, an examination of the upper and lower extremities, and an assessment of the spine and spinal cord renal-bladder ultrasound