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2015, Number 1

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Rev Cubana Pediatr 2015; 87 (1)

Renal and urinary tract malformations with renal damage in pediatrics

Saura HMC, Brito ME, Duménigo LD, Viera PI, González OGR

Language: Spanish
References: 33
Page: 40-49
PDF size: 139.46 Kb.


ABSTRACT

Introduction: renal and/or urinary pathway malformations are the frequent cause of chronic renal disease at pediatric ages worldwide.
Objective: to describe the alteration of the renal functioning in these patients, by age, at the time of diagnosis of renal and urinary pathway malformations.
Methods: a cross-sectional descriptive study of patients diagnosed with renal and urinary duct malformations was made in Villa Clara province from January 2012 through December 2013.
Results: forty patients were diagnosed at prenatal phase, 75 % of them were males; 85 were diagnosed after birth and 38 of them after one year of age, 60 % were girls. One hundred and twenty five renal units had reflux and 60 % of them located on the left kidney. It was observed that left kidney malformations prevailed, with 57 patients (45.6 %), but in 28 of patients, the renal damage was bilateral.
Conclusions: vesicoureteral reflux, mainly on the left one, was the most diagnosed malformation; postnatal diagnosis predominated and although there was no difference in terms of sex, males prevailed in patients with prenatal diagnosis and females were the most diagnosed after birth. The left kidney was more frequently affected, but the renal damage was detected more often in bilateral condition.


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