Renal growth in children with vesicoureteral reflux

• Main Authors: Anindya Chattopadhyay, Veereshwar Bhatnagar, Arun Kumar Gupta, Dilip Kumar Mitra
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2000-01-01
• Series: Indian Journal of Urology
• Subjects: Renal Length; Renal Growth; Ultrasonographic Assessment; Vesicoureteral Reflux; Anti-Reflux Surgery.
• Online Access: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2000;volume=16;issue=2;spage=106;epage=110;aulast=Chattopadhyay
• ISSN: 0970-1591; 1998-3824

Antireflux surgery (ARS) was performed on 45 renal units during 1991-96. Pre-operative renal length meas-urements were available in 20 renal units and 23 renal units were evaluated for renal length postoperatively. Pre-and post-ARS renal length measurements were available in 15 renal units. Renal length measurements were made by real time B mode ultrasonography. The post-ARS renal growth was accelerated in 69.5% units, normal in 13% units and impaired in 17.3% units. Accelerated renal growth occurred mainly in the first year after ARS but continued up to 2 years. Pre-existing renal scars, hyper-tension, poor renal function and post-operative urinary tract infection did not affect post-ARS renal growth. Fail-ure of ARS resulted in renal growth retardation.