Abstract：
:During a ten-year period, 35 children presenting with vesicoureteral reflux, ureteropelvic junction obstruction, or a "small kidney" were found to be hypertensive. Of these, 15 subsequently underwent surgical procedures for relief of hypertension. Seven were "cured," six were "improved," and two were "unchanged." The severity of hypertension could not be correlated with the degree of reflux nor with the degree of obstructive uropathy. However, all children with reflux in our study who were hypertensive had some degree of calicectasis noted preoperatively on intravenous pyelogram. Also it was noted that hypertension may occur several years after successful anti-reflux surgery. Children with vesicoureteral reflux, ureteropelvic junction obstruction, or a small kidney need to have blood pressure determinations at regular intervals, even if all previous readings had been in the normotensive range and whether or not they were followed up medically or post surgically. We suggest that blood pressure determinations be made every three months for the first year after diagnosis of reflux or ureteropelvic junction obstruction, and at least once a year thereafter.
journal_name
Urologyjournal_title
Urologyauthors
Braren V,West JC Jr,Boerth RC,Harmon CMdoi
10.1016/0090-4295(88)90390-1subject
Has Abstractpub_date
1988-09-01 00:00:00pages
228-34issue
3eissn
0090-4295issn
1527-9995pii
0090-4295(88)90390-1journal_volume
32pub_type
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