Ultrasound guided nephrostomy in children with hydronephrosis

ABSTRACT

This study was carried out with the aim of diagnosis and percutaneous ultrasound guided nephrostomy until the condition of the child is improved for final surgical management. Nineteen children with hydronephrosis were studied. All patients were examined physically, clinically, and laboratory investigations were done. Plain radiograph of the abdomen and urinary tract intravenous pyelography, prior to ultrasound and percutaneous guided ultrasound draining of hydronephrosis and pyonephrosis by nephrostomy were done. All cases with ectopic or any congenital, mobile kidneys and renal failure were excluded from this study. The success rate was 95.4%. 19 children with hydronephrosis on their ultrasound examinations were subjected to percutaneous nephrostomy, 60% of causes of the hydronephrosis were post inflammatory. Minor problems were encountered because the technique is relatively recent and has not been utilized in Egypt, so far it is explained in details, its values and significance as well as the positive predictive value are discussed. No major complications were met, percutaneous nephrostomy drainage should be attempted as first choice of treatment of all cases with hydronephrosis and drained