XANTHOGRANULOMATOUS PYELONEPHRITIS IN CHILDREN - CONSERVATIVE MANAGEMENT

Objectives: Three new cases of xanthogranulomatous pyelonephritis are described in children. Methods: Laboratory examinations including whit e and red blood cell counts, erythrocyte sedimentation rate, renal fun ction, urinalysis and cystography were performed. Results: All of the patients had a palpable abdominal mass. Urine culture was positive (Pr oteus mirabilis) in only I patient. Associated urological abnormalitie s were found in 2 cases. Urographically a functionless kidney was enco untered in 2 children and a renal mass in the other. None could be dia gnosed preoperatively. Conclusions: Although nephrectomy has been said to be the treatment of choice, conservative treatment can be successf ul as shown by 1 of our patients.