The Multicystic Kidney

No AccessJournal of UrologyPediatric Articles1 Aug 1978The Multicystic Kidney David A. Bloom, and Stanley Brosman David A. BloomDavid A. Bloom More articles by this author , and Stanley BrosmanStanley Brosman More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)57112-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail When an abdominal mass is found in a newborn it is likely to be a multicystic kidney. This asymptomatic mass is diagnosed in 60 per cent of the children within the first year of life. Two forms can be identified: 1) the large multicystic kidney, tending to have a normal contralateral kidney, and 2) the small multicystic kidney, which has a high incidence of contralateral renal anomalies and other congenital anomalies. The use of sonography has improved the diagnostic accuracy of this condition, B-mode sonography being superior to the A-mode technique. In a survey of 136 urologists selected because of their pediatric experience 75 per cent believed that an accurate diagnosis could be made non-operatively. However, 25 per cent reported an unexpected operative finding on at least 1 occasion, usually hydronephrosis. Hypertension, infection and manifestations of pressure attributed to the multicystic kidney were reported by 35 per cent of the respondents. Surgical exploration with removal of the abnormal kidney was considered mandatory by 56 per cent of the respondents, while 44 per cent believed that today an operation is no longer required—statistics that represent a change in attitude toward this condition. However, the ability to diagnose this condition accurately needs to be proved before this non-surgical approach can be adapted for each child. Moreover, if a child with this condition does not undergo an operation the parents should be advised of the possibility of problems stemming from the continued presence of the multicystic kidney in later years. © 1978 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByKalisvaart J, Bootwala Y, Poonawala H, Elmore J, Kirsch A, Scherz H, Jones R, Grattan-Smith J and Smith E (2018) Comparison of Ultrasound and Magnetic Resonance Urography for Evaluation of Contralateral Kidney in Patients With Multicystic Dysplastic Kidney DiseaseJournal of Urology, VOL. 186, NO. 3, (1059-1064), Online publication date: 1-Sep-2011.SNODGRASS W (2018) HYPERTENSION ASSOCIATED WITH MULTICYSTIC DYSPLASTIC KIDNEY IN CHILDRENJournal of Urology, VOL. 164, NO. 2, (472-474), Online publication date: 1-Aug-2000.Noe H, Marshall J and Edwards O (2018) Nodular Renal Blastema in the Multicystic KidneyJournal of Urology, VOL. 142, NO. 2 Part 2, (486-488), Online publication date: 1-Aug-1989.Gordon A, Thomas D, Arthur R and Irving H (2018) Multicystic Dysplastic Kidney: Is Nephrectomy Still Appropriate?Journal of Urology, VOL. 140, NO. 5 Part 2, (1231-1234), Online publication date: 1-Nov-1988.Avni E, Thoua Y, Lalmand B, Didier F, Droulle P and Schulman C (2018) Multicystic Dysplastic Kidney: Natural History from in Utero Diagnosis and Postnatal FollowupJournal of Urology, VOL. 138, NO. 6, (1420-1424), Online publication date: 1-Dec-1987.Porch P, Noe H and Stapleton F (2018) Unilateral Presentation of Adult-Type Polycystic Kidney Disease in ChildrenJournal of Urology, VOL. 135, NO. 4, (744-746), Online publication date: 1-Apr-1986.King L (2018) Editorial CommentJournal of Urology, VOL. 135, NO. 4, (746-746), Online publication date: 1-Apr-1986.Chen Y, Stapleton F, Roy S and Noe H (2018) Neonatal Hypertension from a Unilateral Multicystic, Dysplastic KidneyJournal of Urology, VOL. 133, NO. 4, (664-665), Online publication date: 1-Apr-1985.King L, Coughlin P, Bloch E, Bowie J, Ansong K and Hanna M (2018) The Case for Immediate Pyeloplasty in the Neonate with Ureteropelvic Junction ObstructionJournal of Urology, VOL. 132, NO. 4, (725-728), Online publication date: 1-Oct-1984.Ambrose S, Gould R, Trulock T and Parrott T (2018) Unilateral Multicystic Renal Disease in AdultsJournal of Urology, VOL. 128, NO. 2, (366-369), Online publication date: 1-Aug-1982.Spence H (2018) Editorial CommentJournal of Urology, VOL. 128, NO. 2, (369-369), Online publication date: 1-Aug-1982.Cozzutto C and Lazzaroni-Fossati F (2018) Renal Dysplasia with Sacral-Perineal LocationJournal of Urology, VOL. 124, NO. 6, (901-903), Online publication date: 1-Dec-1980. Volume 120Issue 2August 1978Page: 211-215 Advertisement Copyright & Permissions© 1978 by The American Urological Association Education and Research, Inc.MetricsAuthor Information David A. Bloom More articles by this author Stanley Brosman More articles by this author Expand All Advertisement PDF DownloadLoading ...