Home Bratislava Medical Journal 2013 Bratislava Medical Journal Vol.114, No.11, p.650-656, 2013

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345
 

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Bratislava Medical Journal Vol.114, No.11, p.650-656, 2013

Title: Primary obstructed megaureter (POM) in children
Author: V. Nagy, M. Baca, A. Boor

Abstract:

The aim of this study was to analyze the results of surgical and conservative treatment of non-refluxing POM. In the period 2000–2009, 45 children (52 ureters) were treated, the average age was 5.8 months (±10.33), 24 children (26 ureters) by surgery (I) and 21 children (26 ureters) by conservative means (II).

The average follow-up period was 73.8 (±32.91) and 30.85 months (±23.1) resp. Urine examination, USG, DTPA99mTc, biochemical testing, micturating cystouretography in all patients were performed.

Significant difference was present in the occurrence of hydronephrosis of 0th, 3rd and 4th grade, p10 mm, p<0.01; and in the occurrence of normal and prolonged time T ½, p<0.01.

The health condition was adjusted in 13 (54.20 %), improved on DTPA99mTc in 5 (20.85 %), non-improved in 3 (12.50 %), deteriorated in 1 (4.15 %) and unknown in 2 (8.3 %) patients.

In the IInd group a significant difference was in case of occurrence of hydronephrosis of 0th, 2nd and 3rd grade, (p<0.01, or p=0.037 and p=0.011) and in occurrence of normal ureter, with ureter 0–5 mm and dilated ureter 5–10 mm, p<0.01.

The condition at the end of the follow-up period was assessed DTPA99mTc as adjusted in 11 (52.39 %) patients, improved in 6 (28.57 %), unimproved in 3 (14.28 %) and no patient was assessed as having deteriorated and unknown in 1 (4.76 %).
Conclusion: In patients with an impaired separate kidney function, early surgical treatment helps to minimize damage to the kidney function and prevents future complications (Tab. 6, Fig. 3, Ref. 32).



Keywords: primary obstructed megaureter, cystouretography, hydronephrosis, kidney function, normal ureter.
Year: 2013, Volume: 114, Issue: 11 Page From: 650, Page To: 656
doi:10.4149/BLL_2013_139


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