[Clinico-statistical study of 104 cases of deforming uropathies. Criteria for an early diagnosis]. / Studio clinico-statistico di 104 casi di uropatia malformativa - Criteri di diagnosi precoce.

ABSTRACT

The material of the present study consists of 104 children affected with urinary tract malformation, admitted to the Paediatric Division of the United Hospital of Bergamo between 1976 and 1981. In particular, for every child, the authors have recorded the symptoms at the time of hospitalization and former symptoms, the presence of concomitant bacteriuria and the type of germ, the coincidental occurrence of other malformative syndromes, the types of urinary tract malformation. The mean age at the time of the diagnosis was of 32,7 months (1 - 124). For 45 children the diagnosis has been placed within the first year of life, for 70 children within the first 3 years. The occurrence of absolutely asymptomatic urinary tract malformations and the absence of significant bacteriuria in several cases have been noticed. The authors underline some useful criteria for an early diagnosis the accurate anamnesis, the careful consideration of the symptoms, the identification of the suspicious cases in which it is advisable to employ the uroradiological investigations without any delay. They also recommend a close cooperation between pediatrician, radiologist, nephrologist and paediatric surgeon. Finally the AA confirm the necessity of a better information to the territorial physicians about the problem of the urinary tract malformations.