Hydronephrosis in Children and Adolescents

Czech version

Authors: J. Morávek ¹; L. Zeman ¹; M. Šimsová ¹; J. Kříž ¹; M. Rygl ¹; H. Křížová ²; Z. Hříbal ³; M. Zítková ³
Authors‘ workplace: Klinika dětské chirurgie 2. LF UK a FN v Motole, subkatedra dětské chirurgie IPVZ, Praha, 1 přednosta prof. MUDr. J. Šnajdauf, DrSc. Klinika nukleární medicíny 2. LF UK a FN v Motole, Praha, 2 přednosta doc. MUDr. P. Vlček, CSc. Klinika zobrazovacích meto
Published in: Čes-slov Pediat 2002; (8): 411-414.
Category:

Overview

Hydronephrosis means dilatation of the hollow system of the affected kidney with different degree ofparenchymal atrophy. The aim of the study was to evaluate the therapeutic results in patients with congenitalhydronephrosis.During 1996 - 2001, 62 children were operated on at our institution. There were 44 boys and 18 girls. 48 patientshad obstruction of the pyeloureteric junction (PUJ) due to congenital dysplasia, 14 patients had extrinsicobstruction of the PUJ from crossing renal vessels. In all patients a dysmembering pyeloplasty (Anderson-Hynesprocedure) was done, in case of extrinsic obstruction, enhanced by transposition of the vascular bundle. 4 patientsdeveloped signs of simultaneous obstruction of the PUJ and ureterovesical junction (UVJ). 3 of them requiredadditional resection of the iuxtavesical ureter and its reimplantation after 3 - 4 weeks on nephrostomy. Such patientsdo not develop typical dilated obstructive megaureters. In all patients the obstruction has been relieved. Nosubstantial difference between therapeutic results of each particular group of patients was found.

Key words:
hydronephrosis, aberrant vessels, pyeloplasty, reimplantation of the ureter

Full text is not available online.

If interested in a scan of this journal, contact NTO ČLS JEP.

Labels

Neonatology Paediatrics General practitioner for children and adolescents

Prevalence of Coeliac Disease among Parents and Siblings of Children with Coeliac Disease

The Importance of Oesophageal Motility Disorders in the Etiopathogenesis of GastrooesophagealReflux in Children

Investigation of the Fluid Intake Regime in Children and Adolescents

Rubinstein-Taybi Syndrome in a Family with Familial Mental Retardation

Immunomodulation of Recurrent Urinary Tract Infections in a Paediatric Patient with VesicouretheralReflux (Case report)

Some Aspects of Early and Late Left Ventricular Myocardial Damage after Treatment with Anthracyclinesin Child Age

Article was published in

Czech-Slovak Pediatrics

2002 Issue 8