A clinical observation was performed on 13 cases of giant hydronephrosis in
the Department of Urology, College of Medicine, Hanyang University from May 1972 to March 1981 The results are as follows;
1) In 13 cases of giant hydronephrosis 6 cases were male and 7 cases female, 2nd decade was most common.
2) Side of giant hydronephrosis; Rt. side: 4 cases, Lt. side: 9 cases.
3) The most common etiology of giant hydronephrosis was congenital UPJ stricture (53.8%).
4) The details of the symptoms as follows; 12 cases were flank mass, 5 fever and chillness, 4 frequency of urination, 3 hematuria, 2 abdominal distention and 1 oliguria.
5) Renal function test (B.U.N., creatinine) was normal except 1 case of solitary kidney with neurogenic bladder.
6) In 4 cases out of giant hydronephrosis were compensatory hydronephrotic change on contralateral kidney and 8 cases normal.
7) The operative procedures were as follows; 11 cases were nephrectomy, 1 case pyeloplasty and 1 case nephrostomy.
|