The Frequency and Structure of the Urinary Tract Anomalies in Infants [Article in Bosnian]

Abstract

The aim of this study was to determine the frequency and type of anomalies of the urinary tract (AUT) and their association with anomalies of the other organ systems in infants (age 0 to 12 months) hospitalized at the Tuzla Pediatric Clinic between January 1st 2003 and December 31st 2004. This was a retrospective chart review of 44 infants (26 females and 18 males) who underwent urinary tract evaluation consisting of voiding cystography, intravenous urography and dynamic scintigraphy. Twelve different types of AUT were found in 25 (56.9%) patients. The commonest AUT were vesicoureteral reflux, hydronephrosis, and megaureter secondary to ureteral stenosis found in 29.2%, 19.5% and 12.1% of patients respectively. Six infants (24% of the infants with AUT) had associated anomalies of other organ systems: three of them had anomalies of two organ systems. Early diagnosis of AUT, including prenatal diagnosis, is essential for timely treatment and prevention of complications that may lead to renal insufficiency. Since only 3 out of 25 infants in this study had suspected AUT on prenatal sonography, improvement of prenatal health in Tuzla Canton may contribute to earlier diagnosis. Due to the frequent association of AUT and anomalies of other organ systems, when the diagnosis of AUT is confirmed there should be vigilance in investigating for the presence of other anomalies.