Hydronephrosis in Children: Review of Surgical Correction.
- Author:
Song Sun JANG
1
;
Kon Young YANG
Author Information
1. Department of Urology, Hanyang Sacred Heart Hospital, Hallym College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
hydronephrosis;
surgery;
childhood
- MeSH:
Child*;
Constriction, Pathologic;
Follow-Up Studies;
Humans;
Hydronephrosis*;
Nephrectomy;
Urography
- From:Korean Journal of Urology
1984;25(5):655-662
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical observation was made on 12 children who showed severe hydroureteronephrosis on urography and long term follow up was performed after each etiologic reconstructive surgery. There were U. P. J. stricture(6 cases) and V-U reflux (6 cases) We observed the progressive improvement of renal function in spite of irreversible change on urography as a result of dismembered pyeloplasty (Anderson-Hynes) in U. P. J. stricture and vesicoureteroplasty (Politano Leadbetter) in V-U reflux. We thought that the consideration of reconstructive surgery than only nephrectomy for the correction of hydronephrosis in children was desirable, though there was irreversible change of the renal parenchyme on urography, because we found mostly the difference of degree of renal parenchymal destruction between the operative finding and the radiologic study.
