Enkelzijdige multicysteuze dysplastische nier bij kinderen

Multicystic dysplastic kidney is a congenital disorder in which the kidney is non-functioning and consists of cysts of varying size.

Controversy exists concerning treatment of multicystic dysplastic kidney. In the past nephrectomy was often carried out, because it was believed that there was an increased chance of later development of hypertension and malignant degeneration. Both risks, however, have proven to be very small.

These days, a non-surgical approach is widely advocated.

It remains unclear for how long and how often the conservatively treated patient with a multicystic kidney should be followed.

Nephrectomy is still a realistic treatment option in the case of large multicystic kidneys and if parents are not willing to comply with regular follow-up.

In addition, it is known that patients with a single functioning kidney may have a higher risk of developing hypertension and microalbuminuria even after nephrectomy of the multicystic kidney and for this reason follow-up in the longer term is necessary.