GIANT HYDRONEPHROSIS

Abstract

Objective: To study the clinical presentation and management of giant hydronephrosis. Setting: Civil Hospital Dadu and
Urology Department SMBBMU Larkana. Period: March 2004 to march 2011. Patients and methods: 28 Patient with giant hydronephrosis
treated. 18(64.3%) patients had unilateral and 2(7.1%)had bilateral pelvi ureteric junction obstruction, 4(14.3%) had ureteric stones and
remaining 4(14.3%) had multiple renal stones. All patients were treated with definitive surgery ie pyeloplasty, nephroplication, ureterolithotomy,
extended pyelolithotomy and nephrectomy. Six (21.4%) patients had elevated blood urea and serum creatinine level so initially treated by
percutaneous nephrostomy and ureteric cathetrization. Result: 10 out of 28 cases of giant hydronephrosis showed improvement in the function
and drainage as well as pelvi-calyceal system dilatation while 18 patients going for nephrectomy. Conclusions: Early referral and intervention
is necessary for giant hydronephrosis to prevent infection and deterioration of renal function.