Korean J Urol.  1982 Nov;23(7):946-949.

Hydronephrosis due to Ureteropelvic Obstruction in Children: A Review of 18 Cases

• Kim YY
• Lee MS

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.

Keyword

hydronephrosis; ureteropelvic obstruction,children

MeSH Terms

Adolescent
Blood Vessels
Child*
Diagnosis
Drainage
Female
Flank Pain
Humans
Hydronephrosis*
Infant, Newborn
Male
Nephrectomy
Stents
Ureter
Urography