• Early diagnosis and treatmente of hydronephrosis in childhood 

Early diagnosis and treatmente of hydronephrosis in childhood 

SOVREMENNAYA PEDIATRIYA.2016.1(73):139-142; doi10.15574/SP.2016.73.139 

Early diagnosis and treatmente of hydronephrosis in childhood 

Kokorkin A. D.

Zaporozhye State Medical University, Ukraine 

Objective: To evaluate early and late results of the diagnosis and treatment of children with congenital hydronephrosis. 

Materials and methods. Conducted diagnosis and treatment of 47 children with hydronephrosis. Comparing the immediate and long6term outcomes in the two groups: primary (n=22) and control (n=25). In the study group vice diagnosed prenatally was exposed using ultrasound diagnostics and MRI. In the control group exhibited diagnosed after hospital survey for recurrent pyelonephritis. 

Results and discussion. All children performed surgery on the methodology of Andersen—Hines. Duration of external drainage of the urinary tract in the control group was 1415 days in core — 78 days. In 9% of the children performing morphological situation demanded organo6blowing operation. In the late postoperative period in comparison groups differed significantly in the number of recurrent pyelonephritis background of sustained reductions in dilation of the urinary tract and the growth layer parenchymal kidney operated respectively 88% and 75% of the operated patients. 

Conclusions. Early verification of congenital hydronephrosis affects the outcomes of vice and to prevent deformation of the kidney function and save it. Late diagnosis on the background of persistent urinary tract infections in 9% of cases leads to organo-blowing operation. Persistent infection of the urinary tract is dependent on the timing of postoperative drainage of the kidney. The optimal duration of drainage 78 days. Prenatally diagnosed vice number of recurrences of urinary tract infections in the late postoperative period was 8%, and 87% of renal morphometric parameters were approaching the age norm. 

Keywords: hydronephrosis, diagnosis, treatment, childrens. 


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