Abstract:

Objective: In this study, it was aimed to evaluate the demographic characteristics and follow-up results of patients with multicystic dysplastic kidney (MCDK) in our pediatric nephrology clinic, based on the existing medical literature. Materials and Methods: A retrospective analysis was conducted on the medical records of patients who presented to the Pediatric Nephrology Clinic at Selçuk University Faculty of Medicine between January 2011 and January 2022. The data of 21 patients diagnosed with MCDK were recorded and analyzed. Results: Out of the total patients, 12 (57%) had left-sided MCDK, while 10 (43%) had right-sided MCDK. Three patients experienced urinary tract infections (UTIs). Among the patients with right-sided MCDK, one had a concurrent right ureterocele, and five showed hydronephrosis in the contralateral kidney. No urinary anomalies except MCDK were observed in the remaining patients. None of the patients exhibited proteinuria nor hypertension. Vesicoureteral reflux (VUR) was not detected in the five patients who underwent voiding cystourethrography. In the follow-up of the patients, MCDK was involuted in a mean of 16.2±30,07 (1-107) months. Conclusion: Multicystic dysplastic kidney in children has a good prognosis with conservative management. Periodic follow-up is important to prevent the potential development of hypertension or hyperfiltration injury.

Keywords: