Clinical Observation on Congenital Hydronephrosis / 대한비뇨기과학회지

ABSTRACT

A clinical observation was made on 7 cases of congenital hydronephrosis due to ureteropelvic obstruction who were admitted to the department of Urology, Chonnam University Hospital, during the period from Sept. 1967 to Aug. l974 and the followings were obtained. I) The rates of congenital hydronephrosis accounted for 21.2% of total in-patients with hydronephrosis during the period of 7 years. 2) 3 cases were in male and 4 cases in female. The distribution of age was between 8 months and 29 years. The incidence of pathological side was 5 patients in left and 2 patients in bilateral. 3) The etiological factors were composed of congenital stricture in 4 cases, mucosal lip in I case. aberrant vessel in l case and unknown in l case. 4) The symptoms and signs at admission were palpable mass in 3 cases, hematuria after injury in 2 cases, flank pain in l case and abdominal discomfort in 2 cases. 5) On laboratory examination, microscopic pyuria in 4 cases. hematuria in 2 cases and BUN was increased in 2 cases of the bilateral hydronephrosis. 6) Ureteropelvioplasty was performed in 4 cases. Nephrectomy was done due to pyelonephritis in l case and ureteropelvic obstruction in 1 case. Nephrostomy was done due to ureteropelvic obstruction in 1 case.