ABSTRACT
A preoperative full blood count is recommended, but cross-match is only required when a simultaneous bladder reconstruction is to be performed. For children with a neuropathic bladder or renal scarring, metabolic renal function should be assessed preoperatively. The author favors a 48-hour bowel preparation program using sodium picosulfate and rectal washouts, together with a 5-day course of antibiotics, such as co-amoxiclav. As the child loses a great deal of fluid with the bowel preparation, an intravenous infusion is administered on the night prior to surgery.
