Does diagnostic delay lead invariably to damage in episodic pelvi-ureteric junction obstruction?

Autor: Radhakrishnan CN; Department of Paediatric Urology, Royal Manchester Children's Hospital, Manchester M27 4HA, UK., Gough DC
Jazyk: angličtina
Zdroj: Journal of pediatric urology [J Pediatr Urol] 2005 Feb; Vol. 1 (1), pp. 37-8.
DOI: 10.1016/j.jpurol.2004.11.008
Abstrakt: Objective: To determine the relationship between the length of history and renal function in patients with symptomatic pelvi-ureteric junction (PUJ) obstruction in childhood.
Patients and Methods: The study included 41 children with symptomatic PUJ obstruction. The duration and details of their symptoms were recorded and the differential renal function estimated by isotopic renography.
Results: The median (range) duration of symptoms was 24 (0.25-84) months; there was no statistically significant relationship between the duration of symptoms and differential function at presentation (P=0.148).
Conclusion: There is no correlation between the duration of symptoms and renal function in children with PUJ obstruction. A delay in diagnosis cannot be directly linked to permanent renal compromise.
Databáze: MEDLINE
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