Brief Reports - Indian Pediatrics

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Oct 17, 2004 - pyonephrosis and 2 with single functioning kidney. One child with grade V reflux underwent pyeloplasty for associated pelvi- ureteric junction ...
Brief Reports Primary Vesicoureteral Reflux: Progress of Disease, Somatic Growth and Renal Parameters Prema Menon, K.L.N. Rao, Arpita Bhattacharya, J.K. Mahajan and R. Samujh From the Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Correspondence to: Dr. K.L.N. Rao, Professor and Head, Department of Pediatric Surgery, P.G.I.M.E.R., Chandigarh 160012, India. E-mail: [email protected] Manuscript received: June 13, 2003, Initial review completed: August 14, 2003; Revision accepted: February 4, 2004. Thirty children (45 units) in the age group 1 day-12 yrs with primary vesicoureteral reflux were studied prospectively and periodically assessed for renal function, scarring, grade of reflux and somatic growth parameters. Four children (6 units) with grade IV reflux underwent ureteric reimplantation. Complete resolution with medical management was seen in all 12 units of grade IIII reflux and in 5 of the remaining 27 units of grade IV-V reflux over 6 months-6 yrs. This group showed highly significant improvement in height (p