A 14-year-old male presented to the pediatrician’s clinic for evaluation and management of an acute onset of frequent urination associated with straining to void, a sensation of incomplete emptying, and nocturia starting 4 days prior to his visit. He denied hematuria, dysuria, flank or suprapubic pain, or fevers/chills. He did note recent constipation but denied changes in his gait. He denied drinking decaffeinated or highly acidic fluids. Right nephrectomy for a multicystic dysplastic kidney at 6 months Other relevant information A urinalysis and culture were normal.
The patient is a healthy adolescent male in no apparent distress; his abdominal and genital examinations are normal, and his bladder is not palpable. There are no visible or palpable presacral or sacral abnormalities. Gait and uroflow study are normal. His initial postvoid residual (PVR) was 30 mL, which he was…
