Clinical Findings and Therapy of Ureteral Duplication in 61 Children

Yook, Jin Won; Kim, Ji Hong; Kim, Pyung Kil; Han, Sang Won

J Korean Soc Pediatr Nephrol > Volume 2(2); 1998 > Article

J Korean Soc Pediatr Nephrol 1998;2(2): 169-177.

소아에서의 중복요관에 관한 임상적 고찰

육진원, 김지홍, 김병길, 한상원

¹연세대학교 의과대학 소아과학교실
²연세대학교 의과대학 소아과학교실
³연세대학교 의과대학 소아과학교실
⁴연세대학교 의과대학 비뇨기과학교실

Clinical Findings and Therapy of Ureteral Duplication in 61 Children

Jin Won Yook, Ji Hong Kim, Pyung Kil Kim, Sang Won Han

¹Departments of Pediatrics, Yonsei University, College of Medicine
²Departments of Pediatrics, Yonsei University, College of Medicine
³Departments of Pediatrics, Yonsei University, College of Medicine
⁴Departments of Urology, Yonsei University, College of Medicine

ABSTRACT

Purpose : Renal duplication is a common occurrence, and the range of ureteral and renal anomalies draining the two poles of the duplex kidney leads to a variety of clinical presentations.
Method : A series of 61 children with duplicated systems was studied retrospectively who were admitted during last 12years.
Results : Of the children 60.6% were accompanied with urologic anomalies that required surgical treatment, and most children initially were presented with urinary tract infection. 42.6% of children were either diagnosed incidentally during evaluation of other non-urologic disease or during follow-up evaluation of abnormal antenatal renal sonogram.
Conclusion : From our point view, children with history of abnormal antenatal renal sonogram, or with symptoms such as urinary tract infection, hematuria, abdominal pain should be evaluated radiologially fully to confirm further abnormality and accompanied complications. And routine follow-up using abdominal ultrasonogram, VCUG, and urine culture should be used to prevent and detect early treatable complications.

Key words: Ureteral duplication | Classification | Vesico-ureteral reflux | Ectopic ureter | Ureterocele