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Related Experiment Videos

Unilateral multicystic dysplastic kidney: long term outcomes.

M Aslam1, A R Watson,

  • 1Children & Young People's Kidney Unit, Nottingham University Hospitals, Nottingham, UK.

Archives of Disease in Childhood
|June 7, 2006
PubMed
Summary

Most unilateral multicystic dysplastic kidneys (MCDK) involute over time, with 59% gone by age 10. Long-term follow-up is recommended for remaining renal tissue and impaired function, with conservative management generally justified.

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Area of Science:

  • Pediatric Nephrology
  • Urology
  • Medical Imaging

Background:

  • Antenatally detected unilateral multicystic dysplastic kidney (MCDK) is a common congenital anomaly.
  • Long-term outcomes and involution patterns of MCDK require further elucidation.

Purpose of the Study:

  • To assess the long-term follow-up of children diagnosed with unilateral MCDK before birth.
  • To document complications, the rate of involution over time, and renal function at 10 years of age.

Main Methods:

  • Prospective data from a regional registry of MCDK patients (1985-2004) were analyzed.
  • Children underwent serial ultrasound scans (USS) at 2, 5, and 10 years.

Main Results:

  • Complete involution of MCDK kidneys was observed in 33% by 2 years, 47% by 5 years, and 59% by 10 years.

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  • No significant complications like hypertension, proteinuria, or malignancy were noted. Two patients developed obstruction in the contralateral kidney.
  • 19% of children had vesicoureteric reflux (VUR) into the contralateral kidney, without increased risk of UTIs or renal scarring. Mean GFR at 10 years was 86.4 ml/min/1.73 m2.
  • Conclusions:

    • Conservative management with clinical review and infrequent USS is appropriate for unilateral MCDK.
    • Continued follow-up is necessary for the 41% with persistent renal remnants and those with impaired GFR.
    • Micturating cystography can be deferred unless ultrasound reveals abnormalities in the contralateral kidney or ureter.