[Treatment and prognosis of segmental renal hypoplasia]

Among 140 children with vesicorenal reflux 14 patients were found to be suffering from renal insufficiency. Seven of these patients had histologically proven bilateral segmental renal hypoplasia. Thanks to early commencement and sustainment of antihypertensive therapy, the prognosis of the condition was decisively improved. It does not appear to be worse than in other forms of reflux nephropathy at the renal insufficiency stage. Clinical courses in which there is no deterioration in renal function for more than 10 years are not uncommon. It is also possible to perform an anti-reflux plasty at the renal insufficiency stage. It is thus possible to permanently eliminate feverish infections of the urinary tract.