Obstructive uropathies in children


ULMAN İ. , DİVARCI E.

TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS, cilt.45, ss.85-89, 2010 (SCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 45
  • Basım Tarihi: 2010
  • Doi Numarası: 10.4274/tpa.45.85
  • Dergi Adı: TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS
  • Sayfa Sayıları: ss.85-89

Özet

The causes of urinary obstruction in chidhood is mostly congenital, and the diagnosis can usually be made prenatally. The most common cause of hydronephrosis is ureteropelvic junction obstruction. However, not all hydronephrotic kidneys are really obstructed. If renal parenchyme is preserved, patients with hydronephrosis are followed nonoperatively, and many of them resolve spontaneously in the first few years of life. A detailed ultrasonography and diuretic renogram (dynamic renal scintigraphy) are the two present most reliable diagnostic tools. IVU is not useful in early childhood. An increase in hydronephrosis and/or a decrease in the differential renal function are the major indications for surgical treatment. Depending on the nature, and location of the obstruction, a variety of surgical methods are available, many of which can be performed by endoscopy or laparoscopy. (Turk Arch Ped 2010; 45 Suppl: 85-9)