Abstract
Obstructive uropathy is the leading cause of chronic kidney disease in children. It may be caused by upper or lower urinary tract obstruction and most often hydronephrosis on renal ultrasound is the first indicator of obstruction. The key in management of these patients is determining if hydronephrosis is due to obstruction, and this can be done with further imaging such as a nuclear scan or magnetic resonance urography. Once obstruction is confirmed, the crucial step is to bypass the level of obstruction and drain the urinary tract so as not to compromise renal function.
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References
Peters C. Congenital urinary obstruction: pathophysiology. In: Wein A, editor. Campbell-Walsh urology. 11th ed. Philadelphia: Elsevier; 2016. p. 3040–56.
Nguyen HT, Herndon CD, Cooper C, et al. The society for fetal urology consensus statement on the evaluation and management of antenatal hydronephrosis. J Pediatr Urol. 2010;6(3):212–31.
Nguyen HT, Benson CB, Bromley B, et al. Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system). J Pediatr Urol. 2014;10(6):982–98.
Farrugia MK, Whitaker RH. The search for the definition, etiology, and effective diagnosis of upper urinary tract obstruction: the Whitaker test then and now. J Pediatr Urol. 2019;15(1):18–26.
Peters CA, Skoog SJ, Arant Jr. BS, Copp HL, Elder JS, Hudson RG, et al. Management and screening of primary vesicoureteral reflux in children. 2010. Available from http://www.auanet.org/guidelines/vesicoureteralreflux-(2010-reviewed-and-validity-confirmed-2017.
McLeod DJ, Szymanski KM, Gong E, et al. Renal replacement therapy and intermittent catheterization risk in posterior urethral valves. Pediatrics. 2019;143(3).
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Rehfuss, A., Fuchs, M., DaJusta, D., Ching, C. (2021). Obstructive Uropathy. In: Lacher, M., St. Peter, S.D., Zani, A. (eds) Pearls and Tricks in Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-51067-1_47
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DOI: https://doi.org/10.1007/978-3-030-51067-1_47
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