Pediatric nephrectomy.
A retrospective revue of 90 consecutive nephrectomies revealed 25 instances in which the nephrectomy was done for poor or diminished function only (28 per cent). The pathology was ureteropelvic obstruction (18 cases), reflux (4 cases) and obstructive megaureter (3 cases). All conditions are reparable. Although some kidneys in children are worthless and best removed, most have significant potential function if the anatomical defect is repaired. Poor or diminished renal function in children should not be an absolute indication for nephrectomy.
D002648:Child; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000601:surgery; D007223:Infant; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009392:Nephrectomy; D011859:Radiography; D012189:Retrospective Studies