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Published on: February 9, 2011
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[Renal abscess in children]
I M Kagantsov1,2, V V Sizonov3,4, V I Dubrov5
1Almazov National Medical Research Centre, Russia.
Urologiia (Moscow, Russia : 1999)
|July 12, 2021
Summary
Conservative treatment is effective for pediatric renal abscesses, especially for smaller ones. Abscess puncture may be necessary for larger abscesses (over 3 cm) if conservative methods fail.
Area of Science:
- Pediatric Nephrology
- Pediatric Urology
- Infectious Diseases
Background:
- Renal abscesses in children are uncommon but can lead to severe complications.
- Current literature lacks a unified treatment strategy for pediatric purulent-destructive pyelonephritis.
- A conservative approach to pediatric renal abscesses is increasingly discussed.
Purpose of the Study:
- To evaluate the effectiveness of conservative treatment versus abscess puncture for pediatric renal abscesses.
- To identify factors influencing treatment outcomes in children with renal abscesses.
Main Methods:
- A retrospective study of 59 children diagnosed with renal abscesses between 2005 and 2019.
- Patients were treated with either conservative (antibiotic) therapy or ultrasound-guided abscess puncture.
- Treatment outcomes and hospitalization duration were compared between groups.
Main Results:
- Conservative treatment was effective in 45.8% of patients, while 54.2% required abscess puncture.
- Patients undergoing abscess puncture had a significantly longer hospital stay (median 15 days vs. 13 days).
- Conservative therapy was less effective for abscesses larger than 3 cm (31% effectiveness vs. 60% for smaller abscesses).
Conclusions:
- A conservative approach should be considered first-line therapy for pediatric renal abscesses.
- Abscesses exceeding 3 cm in diameter are more likely to require intervention if conservative treatment is ineffective.
- All patients in the study recovered fully without the need for open surgery or nephrectomy.
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