MULTICYSTIC RENAL DYSPLASIA WITH ECTOPIC URETERAL IMPLANTATION IN BOYS - REPORT ON 6 CASES

The prevalence of multicystic dysplastic kidney has increased since th e development of antenatal ultrasound diagnosis. Even though, the rari ty of symptomatic forms and case reports of spontaneous regressions an tenatally or after postnatal ultrasound follow-up have reduced indicat ions of nephrectomy which is less and less appropriate. However, disco very of ectopic ureteric implantation in boys makes certain additional investigations as intravenous pyelography, cystography and ultrasound , essential before making any therapeutic decision. Nevertheless, some cases remain indescriptible. In these cases, operative opacification of any patent ureter can provide more precise information about ureter ic implantation. Lastly, only a dissection and resection as complete a s possible of any patent ureter and pelvic cystic dilatation can preve nt subsequent complications.