Document Detail

Hypertension is an indication for surgery in children with ureteropelvic junction obstruction.
MedLine Citation:
PMID:  18355868     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To our knowledge hypertension in children with ureteropelvic junction obstruction has not been reported in the literature as an indication for surgery. In addition, there has been no systematic research into the effect of relief of obstruction on existing hypertension. The aim of this study was to evaluate the proportion of children with ureteropelvic junction obstruction with hypertension diagnosed preoperatively, and how hypertension developed after relief of the obstruction. MATERIALS AND METHODS: We retrospectively reviewed patients operated on at our institution in the last 10 years for relief of ureteropelvic junction obstruction. RESULTS: Data were evaluated on 227 patients treated for ureteropelvic junction obstruction during the period 1996 to 2006. Preoperatively 11 of these patients had been diagnosed with hypertension. Hypertension alone was the major indication for surgery in 7 of these 11 patients. Postoperatively 10 patients became normotensive, while 1 is still receiving antihypertensive medication. CONCLUSIONS: This study confirms that hypertension should be looked for in patients with dilated or obstructed upper urinary tracts, and considered an indication for surgery. In the vast majority of cases relief of obstruction cures hypertension.
Dorien de Waard; Pieter Dik; Marc R Lilien; Esther T Kok; Tom P V M de Jong
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Publication Detail:
Type:  Journal Article     Date:  2008-03-19
Journal Detail:
Title:  The Journal of urology     Volume:  179     ISSN:  1527-3792     ISO Abbreviation:  J. Urol.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-14     Completed Date:  2008-05-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1976-8; discussion 1978-9     Citation Subset:  AIM; IM    
Department of Pediatric Urology, Pediatric Renal Center Utrecht, University Children's Hospital, Utrecht, The Netherlands.
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MeSH Terms
Child, Preschool
Hypertension, Renal / drug therapy,  etiology*
Ureteral Obstruction / complications,  surgery*

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