Narrow ureteropelvic junction in children: Need to be detected early in the fetal period in the womb

Pediatric pyelonephritis junction stenosis is a congenital malformation, usually detected in the fetal period by obstetric ultrasound. The disease is also the most common cause of urinary obstruction in children, therefore, it is necessary to be diagnosed before birth to have a timely treatment plan after birth.
However, because the disease is often insidious, some cases are detected only after birth or in adulthood. Professor Nguyen Thanh Liem - Director of Vinmec International General Hospital (Vingroup) said: "Kids need to be detected early and have appropriate postpartum treatment. If not detected and treated early, the narrow junction will reduce urine flow from the renal pelvis to the bladder, urine stagnation in the kidney will cause dilation of the renal pelvis, dilation of the renal calyces, causing kidney failure. hydronephrosis. Excessive and prolonged kidney retention will cause impaired kidney function leading to kidney failure. It is more dangerous and more complicated to treat if the newborn has other congenital diseases”.

Professor Nguyen Thanh Liem also said that recently, Vinmec performed a rather difficult surgery for an 11-month-old child (from Nghe An) who had a congenital heart disease and a narrow junction of the kidney and ureter. She was born almost a month ago when she was diagnosed with congenital heart disease. I had surgery to repair a congenital heart defect. However, during the follow-up and examination after the heart surgery, the doctors discovered that the child had a narrow junction of the kidney and ureter and was prescribed laparoscopic surgery. With this surgery, the team of doctors encountered many difficulties because the child was too young and had just had a heart operation, so the anesthesia and resuscitation work was difficult.

I had laparoscopic surgery at the most modern OR1 laparoscopic operating room system, currently only Vinmec hospital and some major centers in Asia are equipped with this system. Prof. Nguyen Thanh Liem directly operated on him with the technique of pyelonephritis-ureteroscopy through retroperitoneal endoscopy through an 11mm incision with 1 troca. This is the most advanced technique today, but outside of Vietnam, there are only 2 centers in Italy that perform this technique. With a small incision, it does not cut through any part of the muscle, so it causes minimal trauma to the patient, the patient has less pain, and the recovery is quick. Now he has been discharged from the hospital. Good health.

Professor Nguyen Thanh Liem also advises pregnant mothers to find reputable medical facilities for prenatal ultrasound to get the most accurate ultrasound results. For schools where the disease is not diagnosed in advance, if the children have symptoms such as abdominal pain, urinary tract infection (diarrhea, painful urination, cloudy urine), abnormally raised abdomen (abdominal tumor). . should be taken to the hospital for timely diagnosis and treatment.
It is known that in the past time, the Department of Pediatrics in particular and Vinmec in general have continuously received and performed many complex surgeries requiring high expertise and advanced techniques. With the gathering of many leading pediatrician professors in Vietnam, along with the most advanced equipment and technology, Vinmec is gradually becoming a prestigious address for examination, consultation and treatment of the people.