Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28861308
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Turk+J+Urol
2017 ; 43
(3
): 337-344
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Giant hydronephrosis: still a reality!
#MMPMID28861308
Kaura KS
; Kumar M
; Sokhal AK
; Gupta AK
; Purkait B
; Saini D
; Sankhwar S
Turk J Urol
2017[Sep]; 43
(3
): 337-344
PMID28861308
show ga
OBJECTIVE: Giant hydronephrosis (GH) is a rare entity in both developed and
developing countries with less than 500 cases reported in the literature. Delayed
diagnosis and management of GH, can result in long-term complications like
hypertension, rupture of the kidney, renal failure and malignant change. We aim
to highlight the importance of this often neglected entity and build a consensus
for its early diagnosis and management. MATERIAL AND METHODS: Patients with GH
were thoroughly worked up, managed and followed up between June 2013 and December
2015 and epidemiologic, radiological, perioperative and follow-up data was
recorded. RESULTS: A total of 35 patients (adults and children) were reported.
Flank pain in adults and abdominal lump in children were the most common clinical
presentation. Percutaneous nephrostomy tube was placed in all patients and
detailed work up was done to reach final diagnosis. Pelvi-ureteric junction
obstruction (PUJO) was the final diagnosis in 32 patients (91.4%). Kidneys were
non-functioning in 13 cases (37.1%) so nephrectomies were performed. Reduction
pyeloplasty with nephropexy was done in 21 patients (60%) with 81% success and
23.1% complication rates. CONCLUSION: GH requires early diagnosis and management
to prevent higher nephrectomy rate along with poor success rate of conservative
surgery like pyeloplasty.
free
free
free
