Doubling of the kidney and doubling the renal pelvis: methods of treatment organization
In modern medical science, doubling the kidney and doubling the renal pelvis is a congenital affection of organ formation, which implies partial or complete duplication. In this case, the kidney is as if connected from two, each of which is equipped with its own blood flow. More often such changes affect only one side, but there is also a bilateral pathology.
Incomplete doubling is a violation of the formation of the organs of the urinary system. Incomplete form of doubling of the right and left kidneys occur with the same frequency. The kidney increases in size and the lower and upper divisions are clearly distinguished in it - each of them has its own artery. Usually, incomplete doubling does not result in the bifurcation of cups and pelvis.
This is important! For full duplication, the formation of two kidneys instead of one is characteristic. When the kidney is doubled on the left side, the calyx-and-pelvis system on the left side doubles. But one part has an inferior pelvis. From each pelvis comes a separate ureter, which falls into various levels of the bladder.
Etiological factors of doubling
The main reason for the formation in the kidney of doubling is the influence on the organism of the pregnant woman of pathological factors or changes, defects in the genes of the child's parents.
When laying in the prenatal period of the organs of the urinary system can be affected by harmful agents, which include:
- Ionizing radiation.
- Lack of intake of minerals and vitamins into the body.
- Use of certain medications.
- Drinking alcohol and smoking.
How the development of kidney doubling is manifested
Usually the upper part of the affected organ remains inferiorly developed. Occasionally, the lower part remains underdeveloped. Also, both parts can be equally developed in terms of functioning. If you study the morphological structure of the organ, the underdeveloped half may resemble a dysplasia of the kidney. It is the presence of renal dysplasia in the parenchyma, simultaneously with disturbances in the processes of urodynamics due to the subsequent splitting of the ureter, that will create favorable conditions for the development of diseases in the abnormal organ.
Often the symptoms of the pathology completely repeat the symptoms of the following diseases:
- Acute and chronic form of pyelonephritis. Hydronephrosis of one of the halves.
- Pyelonephritis.
- Urolithiasis.
Diagnostics and treatment of pathology
Diagnosis of kidney doubling is performed by ultrasound examination - usually in Doppler color mapping mode. The doctor makes a more complete picture of the disease, based on additional methods: echography, cystoscopy, computed tomography, excretory
The process of treatment of kidney doubling with the help of a surgical operation is required when the following pathologies are manifested:
- Hydronephrosis.
- Tumor neoplasm.
- Urolithiasis pathology.
This is important! If the kidney loses its functions or is marked by the development of complications that endanger human life, then it must be removed.
If the kidney is doubled in a child and has almost no effect on its functioning, and the child continues to feel good, then in this situation, the organization of conservative therapy is required. In addition, there is ongoing monitoring of the affected kidney and the state of the child's health. Doctors try not to touch the organ, and the treatment of doubling with the help of surgery is performed provided complications develop. Thus, the causes that triggered the development of the complication are corrected.
Operations can be endoscopic, that is, open. Naturally, doctors always try to keep the kidney and remove the organ only in the situation when it completely loses its abilities. Occasionally, only part or half of it can be removed - the final decision on the method of treatment is taken by the doctor.
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