Please wait a minute...
Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front. Med.    2010, Vol. 4 Issue (1) : 127-130     DOI: 10.1007/s11684-010-0009-6
Research articles |
Treatment of infant postrenal acute renal failure following obstruction due to upper urinary calculi
Hui-Xia ZHOU MD1,Zhi-Chun FENG MD1,Hao MENG MD1,Xiao-Guang ZHOU MD1,Shuang LI BM2,Jun WANG MM2,Shi-Xi DAI BM2,
1.Department of Urology, Bayi Children’s Hospital, General Hospital of Beijing Military Region, Beijing 100700, China; 2.Department of Urology, Wuhan Children’s Hospital, Wuhan 430030, China;
Download: PDF(73 KB)  
Export: BibTeX | EndNote | Reference Manager | ProCite | RefWorks
Abstract  The surgical emergency treatments and curative effects of postrenal acute renal failure following obstruction due to upper urinary calculi in infants were evaluated. Of the 13 infants with postrenal acute renal failure following obstruction due to upper urinary calculi, 11 received retrograded catheterizations of the ureter with semi-rigid ureteroscopy (F 6.8), and two received open ureterolithotomy. The results showed that only one infant had anuresis and continuous reduction of hemoglobin 5h after the open ureterolithotomy and received exploration via excision and peritoneal dialysis, and the remaining 12 patients well recovered in this group. The renal function of all the patients was restored without postoperative complications. It is concluded that the retrograded catheterization of the ureter with ureteroscopy is a minimally invasive, safe and effective therapy for postrenal acute renal failure following obstruction due to upper urinary calculi in infants. For those infants whose urethras are thin and small, the open ureterolithotomy is a suitable method. But patients with bleeding tendency need to be corrected prior to the open ureterotomy to remove obstructions.
Keywords infant      acute renal failure      postrenal      ureteroscopy      
Issue Date: 05 March 2010
URL:     OR
Malek R S, Kelalis P P. Pediatric nephrolithiasis. J Urol, 1975, 113(2): 545–551
Wu J P. Urological Surgery. Jinan: Shandong Science and Technology Press, 2004, 2019–2025 (in Chinese)
Bao Z M. Urinary Obstruction. In: Wu J P, Ma Y J. Practical Urological Surgery. Beijing: People’s Military Medical Press, 1991: 110–112 (in Chinese)
Li X G, Guo H Y, Gan W D, Sun Z Y. Management of acute renal failure by obstruction of upper urinarycalculi with ureteroscopy (a report of 14 cases). Xiandai Miniao Waike Zazhi, 2005, 10: 38–39 (in Chinese)
Wang Z J, Gui Y G, Wu H F. Double J stenting in the treatment ofpostrenal acute renal failure. Nan Jing Yi Ke Da Xue Xue Bao, 2001, 21(3): 253–254 (in Chinese)
Kalika V, Bard R H, Iloreta A, Freeman L M, Heller S, Blaufox M D. Prediction of renal functional recovery after reliefof upper urinary tract obstruction. J Urol, 1981, 126(3): 301–305
Singh S M, Reyse H M. The management of renal and ureteric calculi in renal failure. Br J Urol, 1982, 54(5): 455–457

doi: 10.1111/j.1464-410X.1982.tb13563.x
Gawaz M P, Dobos G, Spath M, Schollmeyer P, Gurland H J, Mujais S K. Impaired function of platelet membrane glycoprotein IIb-IIIain end-stage renal disease. J Am Soc Nephrol, 1994, 5(1): 36–46
Aiello S, Noris M, Todeschini M, Zappella S, Foglieni C, Benigni A, Corna D, Zoja C, Cavallotti D, Remuzzi G. Renal and systemic nitric oxide synthesis in rat withrenal mass reduction. Kidney Int, 1997, 52(1): 171–181

doi: 10.1038/ki.1997.317
Usalan C, Erdem Y, Altun B. Protein Z levels in nemodialysis patients. Int Urol Nephrol, 1993, 31(4): 541–545

doi: 10.1023/A:1007179631603
Smaldone M C, Cannon G M, Benoit R M. Case report: bilateral ureteral obstructionsecondary to Aspergillus bezoar. J Endourol, 2006, 20(5): 318–320

doi: 10.1089/end.2006.20.318
Bylund J, Pais V M Jr. A case of acute renal failure caused by bilateral, multifocal malacoplakialesions of the bladder and ureters. Nat Clin Pract Urol, 2008, 5(9): 516–519

doi: 10.1038/ncpuro1173
Nortes Cano L, Zambudio Carmona G, Guirao Piñera M J, Ruiz Jiménez J I. Endoscopic treatment of primaryvesicoureteral reflux in childhood. Review of 989 cases in a 9 yearsperiod. Cir Pediatr, 2008, 21(3): 173–180
Eisenberg M L, Lee K L, Stoller M L. Endoscopic management ofobstructive complications in ureterosigmoidostomy. Urology, 2007, 70(6): 1048–1052

doi: 10.1016/j.urology.2007.07.014
Jiang H, Wu Z, Ding Q. Ureteroscopy and holmium: YAG laser lithotripsyas emergency treatment for acute renal failure caused by impactedureteral calculi. Urology, 2008, 72(3): 504–507

doi: 10.1016/j.urology.2008.05.041
Grasso M, Ficazzola M. Retrograde ureteropyeloscopy for lower pole caliceal calculi. J Urol, 1999, 162(6): 1904–1908

doi: 10.1016/S0022-5347(05)68065-2
Parvex P, Pippi-Salle J L, Goodyer P R. Rapid loss of renal parenchymaafter acute obstruction. Pediatr Nephrol, 2001, 16(12): 1076–1079

doi: 10.1007/s004670100031
Lopez C, Segui B, Robert M, Morin D, Averous M. Obstructive ureteral calculi in children. Retrospective analysis of 24 cases. Prog Urol, 2002, 12(2): 283–287
Grandjacques C, Peillon D, Bendjelid K, Combe C. Anuric renal insufficiency caused by bilateral ureterallithiasis. Ann Fr Anesth Reanim, 1997, 16(4): 378–380

doi: 10.1016/S0750-7658(97)81465-7
[1] Yue’e Dai, Dongxu Lei, Zhenghua Huang, Yan Yin, G. Allen Finley, Yunxia Zuo. Estimation of the minimum effective dose of tramadol for postoperative analgesia in infants using the continual reassessment method[J]. Front Med, 2012, 6(3): 288-295.
[2] JU Ying, CHEN Lan, JIANG Qi, YANG Kedi, CHEN Xuemin, XU Guojian, LI Liping. Analyses of levels of thyroid hormones and its receptor expression in puerperants and newborns from an e-waste dismantling site[J]. Front. Med., 2008, 2(3): 276-282.
Full text