Urologic Implications of the Vater Association

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Abstract
Among 23 children with the VATER [vertebral and anal anomalies, trachco-esophageal bisrula and renal deficiencies] association 21 had significant genitourinary involvement. The extent of these genitourinary anomalies is not generally appreciated. The principal renal anomalies were renal agenesis (7 cases), ureteropelvic junction obstruction (5 cases), crossed fused ectopia (5 cases) and severe reflux (9 cases). Since corrective urologic surgery is commonly beneficial for children with the VATER association, an early and appropriate urologic evaluation is indicated.