Chronic Renal Failure due to Obstructive Uropathy in Children
Keywords:Obstructive uropathy, renal failure, chronic, children
Obstructive uropathy is an important cause of chronic renal failure (CRF) in children, and is both preventable and reversible to some extent. We conducted a prospective study of all new Paediatric cases of CRF between 1991-2000 to find out the contribution of obstructive uropathy to childhood CRF. There were 25 (22 male & 3 females) cases of obstructive uropathy out of a total of 135 patients, with a mean age of 4.5 years. The commonest cause was posterior urethral valves (68%), followed by Urolithiasis (20%), bladder neck obstruction (8%) and post-traumatic strictures (4%). Posterior urethral valves accounted for 77.3% of the obstructive uropathy in male children. Early detection is possible using antenatal screening, renography and ultrasonography, allowing therapeutic interventions before renal failure sets in.
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