1st International Medical Conference: Advances in Pediatric Care

Objective: The aim of the study was to describe the main features of patients with diseases of the kidney and urinary tract admitted to our hospital with obstructed uropathy, renal insufficiency and hypertension, and to review the effect of early detection and surgical management .

Patients and Methods: Retrospective study of data registered in medical records of children admitted at EGH between 2001 and 2006. The following demographic data were included in the analysis: birthplace, birth date, gender, and age. Diagnostic data were also analyzed including the motive of referral, main diagnosis, surgical procedures, and outcome (hypertension, chronic renal insufficiency).

Results: Data from 20 patients were included in the analysis being 13 males and 7 females .The mean age at admission was 3years.The most frequent motive of referral was urinary tract infection, several types of uropathies were presented, the most common being posterior urethral valve: 7 patients, primary vesicoureteral reflux: 6 patients, Other findings included: pyeloureteral stenosis, neurogenic bladder, and ureterovesical stenosis

Conclusion: Obstructive uropathy and vesicoureteric reflux (VUR) is one of the principal cause of renal failure and secondary hypertension in children, early detection and surgical management can reduce this morbidity.