main causes of hydronephrosis in infants and children are:
«Dumb" hydronephrosis are sometimes found during examination of the patient about
congenital malformations, in connection with the detection of palpable tumor-
education or patient inability to develop normally. Key features
and symptoms found at the urinary tract obstasction - a fever, pyelonephritis,
sepsis, pain in the sides of the torso and the bladder.
When obstasction of mochetochnikolohanochnogo compound is usually carried out
pyeloplasty. Obstasction, vesicoureteral compound is relatively
rarely leads to the formation megauretera and hydronephrosis. Violations
may be of mechanical origin (stenosis) or functional (aperistaltichesky
section). Surgical intervention is the method of choice.
reflux is the result of congenital ectopic ureter mouth. At low
severity of reflux, there is a tendency for spontaneous compensation. Treatment
seeks to preserve the sterility of urine, meanwhile gradually bubble
"Matures" and the reflux disappears. If a child receives preventive treatment
antibiotics, it is recommended to re-produce the general urinalysis, and microbiology
urinalysis every 3-4 months. In marked reflux, or in the absence of
favorable dynamics perform surgical replantation of the mouth of the ureter.
The success of treatment is over 90%. Reflux was noted with great frequency in
twins (30%) and children of parents with a history of reflux (60 %).
Dismorfogenez urinary tract may be asymptomatic. Consequently,
it is very important to assess the state of the kidneys for detection of reflux, obstasction
and the placement of the indications for radiological examination of the urinary tract. Main
Diagnostic methods - is ultrasound, intravenous pyelography, voiding cystic urethrography
and renal scintigraphy. Frequently used surgical treatment, and the probability of success
generally good, especially if the diagnostic and therapeutic activities conducted
before the development of severe kidney damage.