scholarly journals Renal function reserve predicts long-term renal deterioration in children with posterior urethral valve

2011 ◽  
Vol 8 (7) ◽  
pp. 356-356
Author(s):  
Nick Warde
2011 ◽  
Vol 185 (6) ◽  
pp. 2329-2333 ◽  
Author(s):  
M.S. Ansari ◽  
R. Surdas ◽  
S. Barai ◽  
Aneesh Srivastava ◽  
Rakesh Kapoor

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Shahbaz Mehmood ◽  
Raouf Seyam ◽  
Sadia Firdous ◽  
Waleed Mohammad Altaweel

We determined the cause of renal deterioration after augmentation cystoplasty (AC). Twenty-nine adult patients with refractory bladder dysfunction and who underwent ileocystoplasty from 2004 to 2015 were studied. Patients with a decline in glomerular filtration rate (GFR) after augmentation were reviewed. The primary outcome was to determine the factors that might lead to deterioration of estimated GFR. Median follow-up was7.0±2.6years. Significant bladder capacity, end filling pressure, and bladder compliance were achieved from median114±53.6to342.1±68.3 ml (p=.0001),68.5±19.9to28.2±6.9 cm H2O (p=.0001), and3.0±2.1to12.8±3.9(p=.0001), respectively. Renal function remained stable and improved in 22 (76%) patients from median eGFR135±81.98to142.82±94.4 ml/min/1.73 m2(p=.160). Significant deterioration was found in 7 (24%) patients from median eGFR68.25±42to36.57±35.33(p=.001). The causes of renal deterioration were noncompliance to self-catheterization (2 patients), posterior urethral valve/dysplastic kidneys (2 patients), and reflux/infection (2 patients). On multivariate analysis, recurrent pyelonephritis (OR 3.87,p=0.0155) and noncompliance (OR 30.78,p=0.0156) were significant. We concluded that AC is not the cause of progression to end-stage renal disease in patients with renal insufficiency.


2021 ◽  
Vol 11 (1) ◽  
pp. 77-84
Author(s):  
Ilya M. Kagantsov ◽  
Suren S. Zadykyan ◽  
Robert S. Zadykyan ◽  
Vyacheslav G. Svarich ◽  
Vladimir G. Bairov ◽  
...  

Posterior urethral valve is the most common cause of infravesical obstruction in male newborns. Spontaneous rupture of the urinary collecting system with urine extravasation is a rare complication in this group of children. We present a case of urinoma in a patient with a posterior urethral valve at 4 weeks of age with renal insufficiency. The transurethral destruction of the valve and evacuation of the urinoma contributed to the restoration of the urodynamics and recovery of renal function. Urinoma is a rare manifestation of this defect, and its significance for predicting the preservation of renal function has not been fully determined yet. Reports about the occurrence of urine extravasation in the posterior urethral valve and studying kidney function in the long-term period can clarify the significance of this spontaneous mechanism of urinary tract decompression.


PEDIATRICS ◽  
2001 ◽  
Vol 107 (5) ◽  
pp. 1004-1010 ◽  
Author(s):  
K. S. Roth ◽  
W. H. Carter Jr ◽  
J. C. M. Chan

Urology ◽  
2017 ◽  
Vol 99 ◽  
pp. 278-280 ◽  
Author(s):  
Sorena Keihani ◽  
Abdol-Mohammad Kajbafzadeh ◽  
Seyedeh Maryam Kameli ◽  
Reza Abbasioun

2018 ◽  
Vol 2 (1) ◽  
pp. A1-7
Author(s):  
Punit Srivastava ◽  
Richa Jaiman ◽  
Vijay D Upadhyay ◽  
A N Gangopadhyay

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