Doubling of the kidney, manifestations of anomaly. What is dangerous is the doubling of the kidney
Kidney doubling is the most frequently diagnosed pathology of quantity. The length of the affected kidney is more than usual. In order to know what is dangerous to double the kidney, it is necessary, even with minimal signs, to visit the doctor and get consultations.
In the forked bud there is a furrow between its upper and lower part. Usually the upper part is smaller than the lower part, and the blood flow is produced with the help of two arteries. The lymph flow in each of the halves is also separate. With the development of complete doubling, each half develops its own cup-and-pelvic system, but in the upper part it develops incompletely. Each pelvis has its own ureter, which is located all the way and then flows into a separate mouth in the bladder.
By itself, the double kidney carries no danger, so it does not require compulsory treatment. But it happens that it develops pathologies, such as pyelonephritis, urolithiasis. In addition, there may be an ectopia in the ureter - its flow into another organ different from the bladder, when the urine flows.
This is important! With the development of additional complications, treatment is carried out, reaching the surgical intervention, but the kidney is trying to preserve it.
As with any other pathology, it is necessary to closely monitor the condition and functioning of the urinary system in order to prevent complications. If there are no complications, then treatment is not required.
How diagnostic events are organized
Doubling of the kidney is diagnosed by cystoscopy, kidney scanning, excretory urography.
In cystoscopy, as a rule, the mouth of the ureter that extends from the upper part is slightly lower than the ureteral anterior to the lower segment. By itself, pathology does not require treatment, and the clinical picture will depend on other diseases that affect one part of the doubled kidney. Most often it happens hydronephrosis transformation, urolithiasis, pyelonephritis, tuberculosis and other inflammatory processes.
Often doubled kidney is accompanied by an anomaly of development, like ectopia of the ureteral orifice. This diagnosis is made based on where the ureter enters - the neck of the bladder, the urethra, the uterus, the vestibule, the cervix. With the development of ectopia in the urethra, vagina and cervix in girls or women, involuntary discharge of a small amount of urine occurs while maintaining an independent act of urinary diversion.
At times, a diagnosis of ureterocelle is made, which is a defect in the formation of the terminal section in the ureter, more often the mouth of the upper part of the doubled kidney. The disease is the cause of the further development of hydronephrosis.
The manifestation of pyelonephritis will be facilitated by the process in which doubling of the kidney is combined with vesicoureteral reflux. With the complete loss of the ability of one of the halves of the kidney to diagnose, different radioisotope methods of examination allow.
Treatment and its necessity
The therapeutic process for hydronephrosis, reflux and other developed complications involves the elimination of causative factors that provoked the listed pathologies. For this, open surgical procedures or endoscopic operations are used.
This is important! Nephrectomy is performed only if the body is not fully able to continue functioning. The tactics of the organization of treatment for young children depends on the results of diagnosis and the establishment of opportunities for the functioning of the damaged half of the forked organ.
With preservation of the possibility of work up to 85 - 90%, an organ-preserving operation is performed, and with the complete death of two halves of the abnormal kidney, nephrectomy or otherwise complete removal of the kidney is prescribed.
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