SONOGRAPHIC MORPHOLOGY OF URINARY BLADDER IN CHILDREN WITH URETEROHYDRONEPHROSIS

Akilov Kh.A., Khakkulov E.B., Payziev H.M>

Republican Scientific Center for Emergency Medicine. Tashkent, the Republic of Uzbekistan.

Purpose. To identify the characteristic sonographic semiotic pathological changes in the bladder in order to optimize the choice of surgical treatment in children with ureterohydronephrosis.

Materials and methods. Ultrasound images of urinary bladder were examined in 158 children, admitted to pediatric surgery of Republican Scientific Center for Emergency Medicine in the period from 2005 to 2012 with obstructive ureterohydronephrosis (90), vesicoureteral reflux (67) and a combination of the above conditions (1). All the children had ureterohydronephrosis of III-IV stages, due to which they were subjected to surgery, allowing comparing the US results with intraoperative morphological picture of the bladder.

Results. More than one third of patients (57; 36,1%) had bladder wall thickening on ultrasound, including gross thickening in 10 (6,3%) cases. This ultrasound sign appeared thrice more common in patients with obstructive form of the disease. The assessment of morphological and sonographic prevalence and severity of inflammatory and sclerotic changes in the bladder wall is important in determining the tactics and techniques of surgical treatment in children with ureterohydronephrosis.

Conclusions. . One of the most reliable signs of connective tissue proliferation of bladder layers and surrounding tissue is loss of definition and smoothness of bladder contours as well as thickening of its wall. Preoperative ultrasound assessment of the bladder in children with ureterohydronephrosis contributes to the choice of optimal surgical treatment.

Keywords: ureterohydronephrosis, children with ureterohydronephrosis, ultrasound investigation, kidneys, urinary tract.

 

Corresponding author:  Khakkulov E.B., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: For citation: Akilov Kh.A., Khakkulov E.B., Payziev H.M. Sonographic morphology of urinary bladder in children with ureterohydronephrosis. REJR. 2016; 6 (4):81-85. DOI:10.21569/2222-7415-2016-6-4-81-85

 

Received: 15.11.2016 Accepted: 28.11.2016