Wait and Watch: Management Strategies of Multi Cystic Dysplatic Kidney in Pediatric Population

Abstract

Background: One in 2,200 to 1 in 4,300 babies have unilateral multicystic dysplastic kidney (MCDK), one of the most common abnormalities found by prenatal ultrasound.

Objective: The study aims to quantify the prevalence of MCDK in children who are brought to our facility and the characteristics associated with the disease.

Methods: Participants in this retrospective cohort study were added after the fact if they met the eligibility requirements of being diagnosed with unilateral MCDK and presenting to the hospital within the first month of life. Version 22 of the Statistical Package for Social Sciences was used to enter and analyze the data. For age and years of MCDK diagnosis, the mean and standard deviation were calculated. Frequencies, percentages, mean values, and standard deviations will be analyzed for independent data.

Results: The 15-year research included 90 children, with a mean age of 93.2 ± 137.3 days, 70 (77.8%) males and 20 (22.2%) females. The average size of MCDK was 6.2 ±1.2 cms on the right side and 5.4 ± 1.63 cms on the left. During follow-up, 7 (7.8%) children showed an increase in MCDK size within <1 year, 2 years, 4 years, and 8 years.

Conclusion: Studying 15 years of our MCDK patient records included evidence supporting the current literature, primarily positively advocating non-operative delivery of MCDK with periodic follow-up and radiological tests.