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Information Journal Paper

Title

GIANT HYDRONEPHROSIS IN ADULTS: WHAT IS THE BEST APPROACH? RETROSPECTIVE ANALYSIS OF 24 CASES

Pages

  177-181

Abstract

 Background: The distension of the pelvis and calyces of the KIDNEY due to the obstruction and stasis of urinary flow or HYDRONEPHROSIS, caused by a lesion in the upper or lower urinary tract. The giant HYDRONEPHROSIS (GH) is a rare entity and its etiologies are varied. Most reported cases of GH occur in infants and children, and are congenital in origin.Objectives: To formulate and validate a strategic approach for the treatment of giant HYDRONEPHROSIS (GH) based upon anatomical and functional status of renal units in ADULTs.Patients and Methods: We present a retrospective review about 24 cases of GH managed between February 2001 and February 2010. Epidemiologic data, radiological investigations, therapeutic indications, preoperative findings and follow-up were reviewed.Therapeutic indications were based upon functional status of GH.Results: The age of the patients ranged from 19 to 61 years. Ten patients were males and 14 were females. IVU revealed non-visualized unit of the affected side in 4 patients. The quantity of urine drained was between 1.1 litres and 3.5 litres. Seven patients were subjected to NEPHRECTOMY. Eight patients underwent reduction pyeloplasty. Nine patients were treated for urolithiasis. Follow-up was in the range of 9 to 73 months (mean= 32 months). Four patients had chronic renal failure requiring hemodialysis and one patient presented with recurrent pyelonephritis.Conclusions: In very poorly functioning unit, NEPHRECTOMY is the procedure of choice.In salvageable unit, anatomical configuration should dictate the type of reconstructive procedure.

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    APA: Copy

    SALLAMI, SATAA, CHERIF, KERIM, BEN RHOUMA, SAMI, DAGUDAGUI, NIZAR, ROCHDI, ELKID, NIDHAMEDDINE, KCHIR, & HORCHANI, ALI. (2011). GIANT HYDRONEPHROSIS IN ADULTS: WHAT IS THE BEST APPROACH? RETROSPECTIVE ANALYSIS OF 24 CASES. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, 3(3 (9)), 177-181. SID. https://sid.ir/paper/323692/en

    Vancouver: Copy

    SALLAMI SATAA, CHERIF KERIM, BEN RHOUMA SAMI, DAGUDAGUI NIZAR, ROCHDI ELKID, NIDHAMEDDINE KCHIR, HORCHANI ALI. GIANT HYDRONEPHROSIS IN ADULTS: WHAT IS THE BEST APPROACH? RETROSPECTIVE ANALYSIS OF 24 CASES. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY[Internet]. 2011;3(3 (9)):177-181. Available from: https://sid.ir/paper/323692/en

    IEEE: Copy

    SATAA SALLAMI, KERIM CHERIF, SAMI BEN RHOUMA, NIZAR DAGUDAGUI, ELKID ROCHDI, KCHIR NIDHAMEDDINE, and ALI HORCHANI, “GIANT HYDRONEPHROSIS IN ADULTS: WHAT IS THE BEST APPROACH? RETROSPECTIVE ANALYSIS OF 24 CASES,” THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, vol. 3, no. 3 (9), pp. 177–181, 2011, [Online]. Available: https://sid.ir/paper/323692/en

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