DIAGNOSIS AND TREATMENT OF OBSTRUCTIVE UROPATHY IN CHILDREN

Abstract

Material and methods. The study is based on the results of diagnosis and treatment of 444 children with congenital obstructive diseases of the urinary tract. They were in the urology department of NRCMCH since August 2007. To differentiate organic and functional obstructive uropathy were conducted high-tech, informative and noninvasive imaging diagnostic methods. On the basis of which were provided a differentiated treatment. Results. Children with functional hydronephrosis and vesico-dependent version of urodynamic disorders in obstructive megauretera received conservative treatment. In ureteral type of the functional form of obstructive megauretera and 2-3 stage of vesicoureteral reflux were provided mini invasive endoscopic treatment. Effectiveness of endoscopic treatment of obstructive megauretera was - 85%, while the vesicoureteral reflux of 2nd stage - 100%, grade 3 - 80%. The use of mini lumbotomy frontside access for hydronephrosis, allowed towork locally in the area of ureteropelvic segment, to avoid injury of the kidneys and paranephritis. Conclusion. Thus, the use of an integrated approach to diagnosis using minimally invasive, highly informative methods made it possible to pathogenetically substantiate the choice of tactics for the treatment of obstructive uropathy in children and significantly improve the results of this complex category of patients.