Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Nephrol. Jan 25, 2022; 11(1): 30-38
Published online Jan 25, 2022. doi: 10.5527/wjn.v11.i1.30
Unilateral hypoplastic kidney in adults: An experience of a tertiary-level urology center
Rabea Ahmed Gadelkareem, Nasreldin Mohammed
Rabea Ahmed Gadelkareem, Nasreldin Mohammed, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut 71515, Egypt
Author contributions: Gadelkareem RA designed the research, searched and collected the data, and wrote the paper; Mohammed N contributed to study design and manuscript writing and revision, and supervised the work; both authors approved the paper.
Institutional review board statement: This study was approved on November 25, 2021 by the Medical Ethics Committee of the Faculty of Medicine, Assiut University, Egypt as a topic in a research project titled "Experience of a tertiary-level urology center in the clinical urological events of rare and very rare incidence: a retrospective research project." The institutional review board number is 17300684.
Informed consent statement: This article is a retrospective one with only descriptive anonymous data. Patients were not required to give informed consent to the study because the manipulated data were anonymous and were obtained after each patient agreed to treatment by consent.
Conflict-of-interest statement: The authors have no financial relationships to disclose.
Data sharing statement: No additional data are available. All the processed data are included in the study.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rabea Ahmed Gadelkareem, MD, Associate Professor, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Elgamaa Street, Assiut 71515, Egypt. dr.rabeagad@yahoo.com
Received: March 26, 2021
Peer-review started: March 26, 2021
First decision: July 31, 2021
Revised: August 7, 2021
Accepted: December 21, 2021
Article in press: December 21, 2021
Published online: January 25, 2022
Processing time: 299 Days and 12.2 Hours
Core Tip

Core Tip: The study reviewed the clinical characteristics, complications, and management of the unilateral hypoplastic kidney in adults. The various clinical presentations are due to the different complications including urolithiasis, obstruction, urinary tract infections (UTIs), and life-threatening morbidities such as anuria and septicemia. Renal radioisotope scanning is indicated for cases with sizable kidneys, verification of the decision of surgical intervention, and patient preference. Conservative and endoscopic approaches should be tried first for the management of complications. However, laparoscopic nephrectomy is recommended for the treatment of persistent complications such as hypertension and recurrent UTIs or urolithiasis.