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Related Experiment Videos

In hydronephrosis less than 10 % kidney function is not an indication for nephrectomy in children.

M A Aziz1, A Z Hossain, T Banu

  • 1Department of Surgery, BICH & Dhaka Shishu (Children's) Hospital, Dhaka, Bangladesh. draaziz@aitlbd.net

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|December 7, 2002
PubMed
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Preliminary nephrostomy improves kidney function in pediatric hydronephrosis, avoiding nephrectomy. This approach preserves renal function and prevents long-term complications associated with having a single kidney.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Surgical Innovation

Background:

  • Hydronephrosis in children can lead to reduced kidney function.
  • Nephrectomy is often considered for hydronephrotic kidneys with poor function.
  • Preserving renal function in pediatric patients is crucial for long-term health.

Purpose of the Study:

  • To reduce the incidence of nephrectomy in children with hydronephrosis.
  • To evaluate the efficacy of preliminary nephrostomy in improving renal function.
  • To avoid the long-term consequences of a single kidney in pediatric patients.

Main Methods:

  • A study group of 12 pediatric patients with hydronephrosis and <10% renal function underwent DTPA renography.
  • Initial treatment involved nephrostomy, followed by Anderson-Hynes pyeloplasty after 4-6 weeks.

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  • Postoperative assessments included renal ultrasound, urinalysis, blood urea, serum creatinine, DMSA scan, and DTPA renography.

    • Main Results:

    • All 12 patients in the study group demonstrated improved renal function (>10%) after nephrostomy.
    • Pyeloplasty was successfully performed in all patients within the planned timeframe.
    • No significant pre-, peri-, or postoperative complications were observed.

    Conclusions:

    • Preliminary nephrostomy is a viable alternative to immediate nephrectomy for hydronephrotic kidneys with <10% function.
    • This approach significantly improves renal functional status.
    • It effectively avoids nephrectomy and the associated long-term risks of single-kidney status in children.