Primary Pelvic Hydronephrosis in Children: A Retrospective Survey

Smith, Patrick J.; Roberts, Michael; Whitaker, Robert H.; Garoushe, Abdel Raouf

doi:10.1111/j.1464-410x.1976.tb06700.x

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…The patients were consecutively recruited but el derly patients and pregnant women were excluded be cause the diagnostic assessment could not be performed without increased risk. The distribution of symptoms was in agreement with that in previous publications [10,[36][37][38], with loin pain dominating in 60%, urinary tract infection in 30% and renal calculi in 8% of the pa tients.…”

Section: Discussionsupporting

confidence: 80%

Functional Characteristics of Idiopathic Hydronephrosis

Bratt¹,

Nilsson²

1984

Eur Urol

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Section: Discussionsupporting

confidence: 80%

Functional Characteristics of Idiopathic Hydronephrosis

Bratt¹,

Nilsson²

1984

Eur Urol

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“…The results compare very favourably with other reported series with a small morhidity and relief of symptoms in all cases (1,2,5). The severity of thc presenting symptoms did not necessarily correlate with the degree of obstruc-tion although the presence of an abdominal mass was a feature in half of those patients undergoingnephrectomy.…”

Section: Discussionsupporting

confidence: 80%

Pelvi-ureteric Junction Obstruction in Children

Macfarlane¹,

Db²

1981

Eur J Pediatr Surg

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Hydronephrosis secondary to pelvi-ureteric obstruction affecting one hundred children and derived from a 13 year period were reviewed. Particular attention was paid to symptomatology in infancy and childhood, pre-operative investigations and postoperative assessment. Following pyeloplasty the late results assessed clinically, radiologically and renographically were entirely satisfactory. The operative technique varied satisfactory. The operative technique varied according to the nature and severity of the abnormality but dismembered pyeloplasty and nephrostomy and splintage was favoured. Twelve patients with aberrant lower pole vessels had simple hitching of vessels alone with good results. Our experience suggests that the recuperative power of the kidney in the infant is unpredictable and surprising. For this reason a plea is made for extreme conservatism.

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“…The incidence of UTI has in most large materials been less than 35 % (12,14,23,24,29) with few exceptions (13,18). In our material the incidence of previous andlor preoperative UTI was 54 0/0.…”

Section: Discussionmentioning

confidence: 99%

Pelviureteric Obstruction in Children

Vihma¹,

Kv²

1983

Eur J Pediatr Surg

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A series of 161 hydronephrotic kidneys from a 30-year period in 147 children is reported. The left kidney was affected more frequently than the right and the condition was more common in the male than in the female child. In infants, abdominal mass was a common mode of presentation. In older children, loin or abdominal pain, haematuria and urinary tract infection were typical findings. The principles of treatment have changed: during 3 decades there has been a definite shift from nephrectomy to dismembered pyeloplasty, mostly according to Anderson-Hynes technique or its modifications. The results of the dismembered pyeloplasties were good or excellent as contrasted with often unsatisfactory results of the non-dismembered pyeloplasties. There were 1 early and 1 late death in the series; both of these patients were uraemic already preoperatively. The key to good results is the dismembered pyeloplasty with postoperative nephrostomy drainage and applying a stent for the anastomosis, combined with strict control of postoperative pyelonephritis.

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Primary Pelvic Hydronephrosis in Children: A Retrospective Survey

Cited by 7 publications

References 9 publications

Functional Characteristics of Idiopathic Hydronephrosis

Functional Characteristics of Idiopathic Hydronephrosis

Pelvi-ureteric Junction Obstruction in Children

Pelviureteric Obstruction in Children

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