• Rare clinical case of surgical treatment of bilateral stage III hydronephrosis in a newborn baby
To content Full text of article

Rare clinical case of surgical treatment of bilateral stage III hydronephrosis in a newborn baby

Paediatric surgery.Ukraine.2019.4(65):62-66; doi 10.15574/PS.2019.65.62

O.K. Sliepov, M.V. Ponomarenko, O.V. Markevich, O.S. Skiba, O.G. Shypot
SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O. Lukyanova of the National Academy of Medical Sciences of Ukraine», Kyiv

For citation: Sliepov OK, Ponomarenko MV, Markevich OV, Skiba OS, Shypot OG. (2019). Rare clinical case of surgical treatment of bilateral stage III hydronephrosis in a newborn baby. Paediatric Surgery.Ukraine. 4(65): 62-66. doi 10.15574/PS.2019.65.62
Article received: May 08, 2019. Accepted for publication: Nov 11, 2019.

The article presents a rare clinical case of treatment of a newborn baby with a birth defect in the development of both kidneys – bilateral hydronephrosis III degree. At the age of 11 days the child underwent a radical one-stage operative treatment – resection of the pyeloureteral segment followed by the imposition of a pyeloureteral anastomosis by the Anderson-Hines method of the left and right kidneys.The result of the surgical correction of the presented developmental malformation is good.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the institution’s Local Ethics Committee. The informed consent of the child’s parents was obtained from the studies.
No conflict of interest was declared by the authors.
Key words: congenital developmental defect, kidney, bilateral hydronephrosis, pylourethral segment, surgical correction, newborn baby.


1. Beknazarov ZhB, Agzamkhodzhaev ST, Abdullaev ZB, Sanginov ShA. (2018). Results of surgical correction of congenital hydronephrosis in young children. Russian Bulletin of Pediatric Surgery, Anesthesiology and Resuscitation. 8;1: 31-35.

2. Big medical encyclopedia. Updated and updated edition of the bestseller (2015). Moscow: 146-148.

3. Jenlaev BK, Botabaeva AS, Kaliyeva ShS. (2015). Congenital hydronephrosis in children. Clinical Protocols of the Ministry of Healthcare and Social Development. MedElement.

4. Degtyar VA, Boyko MV, Kharitonyuk LM, Hitrick AL, Ostrovskaya AA, Obertinsky AV, Varun SE. (2017). Some aspects of diagnostics and treatment of pediatric patients with hydronophrosis. Paediatric surgery.Ukraine. 3(56): 89-92. https://doi.org/10.15574/PS.2017.56.89

5. Isakov YuF, Dronov AD. (2009). Pediatric surgery: National leadership. Moscow: GEOTAR-Media: 583-589.

6. Clinical recommendations for the diagnosis and treatment of hydronephrosis and ureterohydronephrosis. Russian Society of Urology. XIV Congress of the Russian Society of Urology (Saratov, Russia, September 10–12, 2014).

7. Kokorkin A.D. (2016). Early diagnosis and treatmente of hydronephrosis in childhood. Sovremennaya pediatriya. 1(73): 139-141. https://doi.org/10.15574/SP.2016.73.139

8. Lyamzin SI. (2007). Obstruction of the pyeloureteral segment in young children (principles of pre- and early postnatal diagnosis and improvement of surgical treatment): abstract dis. cand. medical sciences. Omsk.

9. Menovshchikova LB, Rudin YuE, Germanova TN. (2015). Clinical guidelines on pediatric urology – andrology. Moscow: Pero: 8-24.

10. Nikitina ON, Kalashnikova EA, Galich SR, Sochi TV. (2018). Diagnosis, clinic, treatment and prognosis of renal hydronephrosis. Integrative Anthropology. 1(31): 60-62.

11. Rudin YuE. (2000). Tactics of treatment of hydronephrosis in young children. Pediatric Surgery. 3: 14-16.

12. Sizonov VV. (2016). Lecture. Diagnosis of obstruction of the pyeloureteral segment in children. Herald of Urology. 4.

13. Shevchuk DV, Voloshin PІ. (2016). To the issue of urine withdrawal with congenital hydronephrosis in children. Child health. 5 (73): 147-153. https://doi.org/10.22141/2224-0551.5.73.2016.78319

14. Yanitskaya MYu, Proklova LV, Kirkalova TI, Savenkov IYu, Belyaev IP, Berkausova IA. (2007). Percutaneous nephrostomy puncture under ultrasound control in children. Tezysi scientific papers symposium of pediatric surgeons of Russia J of Medical Science. 2(16): 81-82.

15. Bragagnini P et al. (2016, Des). Predictive factors of the outcomes of prenatal hydronephrosis. Arch Esp Urol. 69(10): 680-690.

16. Chertin B, Pollack A, Koulikov D et al. (2006). Conservative treatment of ureteropelvic junction obstruction in children with antenatal diagnosis of hydronephrosis: lessons learned after 16 years of follow-up. Eur. Urol. 49(4): 734-738. https://doi.org/10.1016/j.eururo.2006.01.046; PMid:16504374

17. Dias CS, Silva JM, Pereira AK et al. (2013). Diagnostic accuracy of renal pelvic dilatation for detecting surgically managed ureteropelvic junction / obstruction. J Urol. 190; 2: 661–666. https://doi.org/10.1016/j.juro.2013.02.014; PMid:23416643

18. Li G et al. (2017, Oct. 4). Perinatal and follow-up outcome study of fetal anomalies with multidisciplinary consultation. Ther Clin Risk Manag. 13: 1303–1307. https://doi.org/10.2147/TCRM.S138808; PMid:29042787 PMCid:PMC5634374

19. Nguyen HT, Herndon CD, Cooper C et al. (2010, Jun) The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis. Journal of Pediatric Urology. 6; 3: 212-231. https://doi.org/10.1016/j.jpurol.2010.02.205; PMid:20399145

20. Onen A, Jayanthi VR, Koff SA. (2002). Long-term followup of prenatally detected severe bilateral newborn hydronephrosis initially managed nonoperatively. J Urol. 168(3): 1118–20. https://doi.org/10.1016/S0022-5347(05)64604-6