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Surgery in unilateral multicystic kidney.

C M Kullendorff1

  • 1Department of Paediatric Surgery, University Hospital, Lund, Sweden.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|August 1, 1990
PubMed
Summary

Unilateral multicystic kidney in children often requires surgery, especially if symptomatic. For asymptomatic cases, surgical intervention around six months may prevent complications like hypertension and malignancy.

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Area of Science:

  • Pediatric Urology
  • Nephrology
  • Congenital Abnormalities

Background:

  • Unilateral multicystic kidney (UMK) is a congenital condition diagnosed through various methods.
  • Associated malformations are present in a significant number of UMK cases.

Purpose of the Study:

  • To review the diagnosis, management, and outcomes of unilateral multicystic kidney in children.
  • To evaluate the indications for surgical intervention in UMK.

Main Methods:

  • Retrospective analysis of 29 patients treated for UMK over 15 years.
  • Diagnostic methods included ultrasonography, intravenous pyelography, and CT scans.
  • Surgical management and outcomes were documented.

Main Results:

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  • Most diagnoses were made antenatally (17/29).
  • Twenty-six children underwent surgery, with 14 operated on before 6 months of age.
  • Preoperative hypertension resolved postoperatively in all four affected children.

Conclusions:

  • Surgical treatment is clearly indicated for symptomatic UMK.
  • For asymptomatic UMK, early surgical intervention around 6 months is recommended to mitigate risks of hypertension, malignancy, infection, and pain.