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Research Article | Open Access
Charles J. Rosser, Sam Auringer, R. L. Kroovand, "VURD Syndrome Managed by Pyelostomy", The Scientific World Journal, vol. 4, Article ID 929461, 5 pages, 2004. https://doi.org/10.1100/tsw.2004.80
VURD Syndrome Managed by Pyelostomy
We report a case of VURD syndrome in a three day old neonate who was diagnosed with hydronephrosis on a prenatal ultrasound. Severe tortuosity and dilation of the upper urinary tracts in the presence of progression of hydronephrosis or a persistently elevated creatinine may favor a proximal urinary diversion rather than primary valve ablation or cutaneous vesicostomy. Because of a persistently elevated serum creatinine, a nonfunctioning kidney with grade 4/5 vesicoureteral reflux and worsening contralateral hydronephrosis despite lower tract drainage, a left cutaneous pyelostomy was performed, contralateral to the kidney involved with VURD. Postoperatively the serum creatinine stabilized at 1.0 mg/dl and decreased to 0.3 mg/dl at one month of age.