Value of early diagnosis of diseases of the urinary system at newborns and children of the first months of life

Abstract

Relevance. The number of children of early age with congenital urological pathology, in particular obstructive uropathy, steadily grows and is registered at 5–14% of newborns. The aim of research: to improve results of treatment of children with urological pathology by improvement of diagnostics and optimization of terms surgical treatment. Patients and methods. On the basis of department of children’s surgery of the Tyumen State Medical University the analysis of results of treatment of 117 children with obstructive uropathy (boys-75 (64%), girls - 42 is carried out (36%). Patients were divided into two groups. The first group made 44 (38%) the child at which pathology of an urinary system was revealed after the birth, already at accession of complications (temperature increase of a body, a leukocyturia and a gematuriya, pains in lumbar area). Age range of these patients made from 1 to 15 years. The second group - 73 (62%) newborns. Pathology at them was revealed in antenatal perid by means of a ultrasound sonography. Treatment to these patients was carried out from the first days of life. Results. Early detection of this pathology and timely surgery before emergence and accession of a secondary infection of an urinary system improved results of treatment of these patients, having reduced quantity of complications from 28.3% to 1,4%. Conclusion. Early detection of this pathology created prerequisites for early surgery before emergence and accession of a secondary infection of an urinary system. This circumstance is decisive in prevention of postoperative complications, and also the satisfactory immediate and remote results of treatment.