Hydronephrosis due to Ureteropelvic Obstruction in Children: A Review of 18 Cases.
- Author:
Young Yoon KIM
1
;
Moo Sang LEE
Author Information
1. Department of Urology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
hydronephrosis;
ureteropelvic obstruction,children
- MeSH:
Adolescent;
Blood Vessels;
Child*;
Diagnosis;
Drainage;
Female;
Flank Pain;
Humans;
Hydronephrosis*;
Infant, Newborn;
Male;
Nephrectomy;
Stents;
Ureter;
Urography
- From:Korean Journal of Urology
1982;23(7):946-949
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From January 1976 until December 1980 we treated 12 male and 6 female children between the ages of 1 month and 15 years for ureteropelvic obstruction. Diagnosis was based on excretory urography and retrograde pyelography. The male and female ratio was 2:1. The patient in this series were distributed from 1 month old to 15 years old. The obstruction was on the left side in 10 cases, on the right side in 5 and bilateral in 3. Of the patients 7 presented because of an abdominal mass and 6 because of flank pain. The pathologic lesion encountered at ureteropelvic obstruction, are intrinsic ureteropelvic obstruction in 16 aberrant blood vessel in 1 and fibrous band in 2. Dismembered pyeloplasty was done in 10 cases, and nephrectomy in 9 cases. Preliminary nephrostomy was done in 3 cases. And secondary nephrectomy in 1 case. Of the 10 repairs 9 were protected by nephrostomy drainage plus ureteral stent.
