Comparison of Clinical Outcomes of Unilateral Atrophic/ Hypoplastic/Nephrectomized and Solitary Kidney Clinical Outcomes of Solitary Kidney
Journal of Pediatric Nephrology,
Vol. 11 No. 2 (2023),
7 February 2024
https://doi.org/10.22037/jpn.v11i3.43884
Abstract
Background and Aim: The congenital anomalies of the kidney and urinary tract (CAKUT)
are the most common findings in the pediatric age group with congenital malformations. The
aim of this study was to evaluate clinical characteristics and follow-up results of children with
unilateral solitary kidney (SK)/hypoplasia/atrophy and nephrectomized kidney.
Methods: We retrospectively reviewed the medical records of patients with unilateral atrophic/
hypoplastic/SK and nephrectomized kidney who presented to the pediatric nephrology clinic
between January 2010 and January 2023. The review included demographic data, laboratory
findings, imaging results, and the clinical course of these patients.
Results: Eighty-nine patients were included in the study (M/F=52/37). 42(47.2%) patients
had SK, 29(32.6%) patients had atrophy, 6(6.7%) patients had hypoplasia, and 12(13.5%)
patients had undergone nephrectomy. At the last examination, hypertension was present in
a total of 8 patients (9%). Hypertension was observed in 16.7% of nephrectomized patients
and 11.9% of SK patients. Proteinuria was detected in 15 patients (16.9%) at the last followup
visit, with the highest frequency observed in nephrectomized patients (33.3%). The four
groups exhibited notable variations in terms of serum creatinine and phosphorus levels,
with the nephrectomized group showing a higher creatinine level (P=0.004) and a lower
phosphorus level (P=0.027) compared to the SK group.
Conclusion: Nephrectomy patients exhibit relatively high rates of proteinuria, hypertension,
and increased creatinine levels, indicating the need for close monitoring.
- Solitary kidney (SK),
- Renal atrophy
- renal hypoplasia
- nephrectomy
How to Cite
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