Urogenital tract abnormalities associated with esophageal atresia and tracheoesophageal fistula.

The medical records were reviewed of 127 consecutive patients with esophageal atresia alone and with tracheoesophageal fistula. Systematical genitourinary tract examination in 112 patients showed anomalies in 24 (21.4 per cent). A survey of the literature on this subject is given. Of 8 patients with the VATER association renal involvement was found in 6. The results of urinary tract imaging by excretory urography and ultrasonography are compared to each other. Prompt and appropriate genitourinary tract examination by physical examination, urinalysis, serum creatinine levels and ultrasonography or excretory urography is recommended as a standard in all children with esophageal atresia, with further investigations ordered if indicated by the results of the studies.