Vesicoureteral reflux into thehypoplastic kidney in children

Abstract

Reconstructive plastic operations were conducted in 54 children
aged 1 to 14 years. The children were followed up for 1 to 17 years.
In 40 patients reflux into the hypoplastic kidney combined with
anomaly or another disease of the contralateral kidney, in 10 patients
- with infravesical obstruction. The examination included clinical and
laboratory tests, ultrasound diagnosis, x-ray, radionuclide investigation,
uroflowmetry, on demand cystoscopy. Assessment of surgery results
was made by function of the hypoplastic kidney and growth of
its parenchyme, urodynamics, clinical symptoms of pyelonephritis. A
good result was achieved in 41%, satisfactory - in 39 and unsatisfactory - in 20% patients.
Thus, timely surgical elimination of vesicoureteral reflux
enables effective treatment of chronic pyelonephritis,
produces a positive action on urodynamics and renal parenchyma
growth.