[Kidney hypoplasia and hypertension]

The basis of the examination is a clinical material of 14 years (from 1960 to 1973) of the urological clinic of the Medical University "Semmelweis", consisting of 160 patients with renal hypoplasia. In 116 of these cases a nephrectomy was performed. The average postoperative observation time was 7.8 years. By removal of the hypoplastic kidney the hypertension could be successfully influenced in 72% of the cases and in 16% moderately; in 12% of the patients the high blood pressure remained unchanged also after the intervention. On account of the recognition resulting from the examinations that by the hypoplastic kidney alone no increase of the blood pressure is caused, but the developmental anomaly forms a basis for the development of the hypertension, is emphasized that the early removal of this abnormally developed kidney is by all means indicated.