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[Hydronephrosis in infancy and childhood]

G Belloli, L Musi, P Campobasso

    La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
    |May 1, 1982
    PubMed
    Summary

    Congenital hydronephrosis in children, often caused by ureteropelvic junction obstruction, shows high surgical success rates with early diagnosis. Surgical intervention for 119 cases achieved 93% success, with nephrectomy in only 5%.

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    Area of Science:

    • Pediatric Urology
    • Congenital Malformations
    • Surgical Outcomes

    Context:

    • Congenital hydronephrosis is a common urinary malformation in infants and children.
    • Ureteropelvic junction (UPJ) obstruction accounts for 80% of cases, with anomalous renal vessels implicated in 20%.
    • This study reviews surgical treatment outcomes over a decade.

    Purpose:

    • To analyze the surgical treatment experience for congenital hydronephrosis in pediatric patients.
    • To evaluate the success rates of various surgical procedures.
    • To highlight the importance of early diagnosis in improving outcomes.

    Summary:

    • A total of 119 hydronephrosis cases in 105 patients were surgically treated between 1971 and 1981.
    • Overall surgical success rate was 93% for operated hydronephrosis and 80% for giant hydronephrosis.

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  • Primary nephrectomy was performed in only 5% of cases, indicating a trend towards organ preservation.

    • Impact:

    • Early diagnosis and surgical intervention significantly improve outcomes for pediatric congenital hydronephrosis.
    • The study underscores the effectiveness of surgical management for UPJ obstruction and related conditions.
    • Findings support timely intervention to minimize renal damage and preserve kidney function.