[Diagnosis of the functional state of the upper part of double kidney in girls with ureter extravesical ectopy].
45 girls with extravesical ureter ectopy of double kidneys were treated outpatiently for 1981-2006. Their age varied from 6 months to 15 years. The anomaly was right-sided in 12 children, left-sided in 27 and bilateral in 6 cases. All the patients underwent surgical cor--rection: upper heminephrureterectomy was performed in 35 cases, nephrectomy--in 5 cases, ureteropyeloanastomosis--in 1 case, ureter-ureter anastomosis in the upper one third--in 3 cases and ureter-neo-cystoanastomosis in 1 child. We propose a new diagnostic method for estimation of functional state of the upper part of the double kidney with extravesical ectopy of its ureter. The method is based on comparison of volumes for 24 hour urine collection in natural urination and urinary incontinence, determination of relative density of urine collected in incontinence. If ectopic volume makes 19% and more of normal micturition volume and density of this urine is more than 1014, function of the upper part is good and organ-sparing surgery is indicated. Good results of 1 to 24 year follow-up were achieved in all the patients.
Iushko
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D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002828:Choristoma / Q000175:diagnosis* / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007668:Kidney / Q000503:physiopathology / Q000601:surgery; D007674:Kidney Diseases / Q000175:diagnosis* / Q000503:physiopathology* / Q000601:surgery*; D012189:Retrospective Studies; D013519:Urogenital Surgical Procedures / Q000379:methods