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Pelviureteric obstruction in infancy

W J Robson, S M Rudy, J H Johnston

    Journal of Pediatric Surgery
    |February 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Pelviureteric obstruction in infants often presents as an abdominal mass in males, with half experiencing bilateral kidney issues. Surgical repair (pyeloureteroplasty) yielded good outcomes, even with complex renal pathologies.

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    Area of Science:

    • Pediatric Urology
    • Nephrology
    • Medical Imaging

    Background:

    • Pelviureteric obstruction is a common congenital anomaly affecting the renal pelvis and ureter.
    • Infantile presentation frequently involves abdominal masses and bilateral renal involvement.
    • Associated cystic renal abnormalities can complicate management.

    Purpose of the Study:

    • To characterize the clinical presentation and renal pathology in infants with pelviureteric obstruction.
    • To evaluate the outcomes of pyeloureteroplasty in this patient cohort.
    • To investigate the association between renal dysplasia and contralateral abnormalities.

    Main Methods:

    • Retrospective review of 33 infants diagnosed with pelviureteric obstruction.
    • Analysis of clinical presentation, imaging findings, and surgical outcomes.

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  • Correlation of renal pathology with surgical success.

    • Main Results:

    • Most of the 33 infants presented within the first month, predominantly males with abdominal masses.
    • 50% of patients exhibited bilateral renal pathology.
    • Pyeloureteroplasty (34 procedures in 27 patients) demonstrated favorable results, including in cases with bilateral disease.

    Conclusions:

    • Infantile pelviureteric obstruction requires early diagnosis and management.
    • Surgical intervention, such as pyeloureteroplasty, is effective even in complex cases with bilateral renal pathology.
    • The study highlights the significant association between cystic dysplasia and contralateral renal abnormalities.