Outcome following surgery for solitary kidney in children

We reviewed 8700 urological patients treated as inpatients over a period of 30 years, among them 386 children with primary or secondary solitary kidneys. Forty-one of these children had to undergo surgery for secondary pathological conditions of their solitary kidney. Diagnosis, treatment and results are analysed and tabulated for 20 primary and 21 secondary solitary kidneys. Generally, the prognosis of a primary solitary kidney is poorer than that of a secondary solitary kidney. Patients who have to undergo dialysis belong to the group with primary solitary kidneys. The worst prognosis is that for the combination of subvesical stenosis and associated uropathy.