The Japanese Journal of Clinical Dialysis Vol.15 No.4(1-2)

Theme Strategy for the Treatment of Chronic Renal Failure in Children
Title Causative disorders of pediatric renal failure and their management -- Significance of urological disorders
Publish Date 1999/04
Author Takeshi Kawamura Department of Urology, Tokyo Metropolitan Children's Hospital, Kiyose
[ Summary ] We analyzed urological disorders, which caused pediatric renal failure, experienced at our institute. Leading abnormaities were reflux and obstructive uropathy which frequently associated with renal dysmorphism. We focused on the importance of ultrasonography for early detection in both perinatal and neonatal periods. Confirmation of UTI in febrile patients and detection of underlying disease was also emphasized. In our study of risk factors associated with rate of renal dysfunction, it was suggested that early (less than 1y/o) urological intervention was most effective in suppressing kidney deterioration rates. We classified urological disorders, categorizing renal failure in 3 types, according to findings seen in upper urinary tracts and/or kidney dysmorphism, and emphasized the special considerations given to these patients.
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