VURD Syndrome Managed by Pyelostomy
We report a case of VURD syndrome in a three day old neonate who was diagnosed with hydronephrosis on a prenatal ultrasound. Severe tortuosity and dilation of the upper urinary tracts in the presence of progression of hydronephrosis or a persistently elevated creatinine may favor a proximal urinary...
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| Format: | Article |
| Language: | English |
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Wiley
2004-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2004.80 |
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| author | Charles J. Rosser Sam Auringer R. L. Kroovand |
| author_facet | Charles J. Rosser Sam Auringer R. L. Kroovand |
| author_sort | Charles J. Rosser |
| collection | DOAJ |
| description | We report a case of VURD syndrome in a three day old neonate who was diagnosed with hydronephrosis on a prenatal ultrasound. Severe tortuosity and dilation of the upper urinary tracts in the presence of progression of hydronephrosis or a persistently elevated creatinine may favor a proximal urinary diversion rather than primary valve ablation or cutaneous vesicostomy. Because of a persistently elevated serum creatinine, a nonfunctioning kidney with grade 4/5 vesicoureteral reflux and worsening contralateral hydronephrosis despite lower tract drainage, a left cutaneous pyelostomy was performed, contralateral to the kidney involved with VURD. Postoperatively the serum creatinine stabilized at 1.0 mg/dl and decreased to 0.3 mg/dl at one month of age. |
| format | Article |
| id | doaj-art-3a76aa714e7f4b3a949a6d57e7a5a147 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2004-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-3a76aa714e7f4b3a949a6d57e7a5a1472025-02-03T07:24:31ZengWileyThe Scientific World Journal1537-744X2004-01-01438238610.1100/tsw.2004.80VURD Syndrome Managed by PyelostomyCharles J. Rosser0Sam Auringer1R. L. Kroovand2Department of Urology, Bowman Gray School of Medicine Wake Forest University, Winston-Salem, North Carolina, USADepartment of Urology, Bowman Gray School of Medicine Wake Forest University, Winston-Salem, North Carolina, USADepartment of Urology, Bowman Gray School of Medicine Wake Forest University, Winston-Salem, North Carolina, USAWe report a case of VURD syndrome in a three day old neonate who was diagnosed with hydronephrosis on a prenatal ultrasound. Severe tortuosity and dilation of the upper urinary tracts in the presence of progression of hydronephrosis or a persistently elevated creatinine may favor a proximal urinary diversion rather than primary valve ablation or cutaneous vesicostomy. Because of a persistently elevated serum creatinine, a nonfunctioning kidney with grade 4/5 vesicoureteral reflux and worsening contralateral hydronephrosis despite lower tract drainage, a left cutaneous pyelostomy was performed, contralateral to the kidney involved with VURD. Postoperatively the serum creatinine stabilized at 1.0 mg/dl and decreased to 0.3 mg/dl at one month of age.http://dx.doi.org/10.1100/tsw.2004.80 |
| spellingShingle | Charles J. Rosser Sam Auringer R. L. Kroovand VURD Syndrome Managed by Pyelostomy The Scientific World Journal |
| title | VURD Syndrome Managed by Pyelostomy |
| title_full | VURD Syndrome Managed by Pyelostomy |
| title_fullStr | VURD Syndrome Managed by Pyelostomy |
| title_full_unstemmed | VURD Syndrome Managed by Pyelostomy |
| title_short | VURD Syndrome Managed by Pyelostomy |
| title_sort | vurd syndrome managed by pyelostomy |
| url | http://dx.doi.org/10.1100/tsw.2004.80 |
| work_keys_str_mv | AT charlesjrosser vurdsyndromemanagedbypyelostomy AT samauringer vurdsyndromemanagedbypyelostomy AT rlkroovand vurdsyndromemanagedbypyelostomy |