Symptoms of a megaureter
Last reviewed: 23.04.2024
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Megaureter symptoms often do not manifest, that is, it proceeds in a latent form. The general condition of patients remains satisfactory for a long time. Many children with this defect lag behind in physical development. They have some signs of dysembryogenesis, often associated abnormalities of the skeleton or other organs and systems.
In the bilateral process, the symptoms of a megaureter are often high, such as increased thirst, polyuria, sometimes paradoxical urinary incontinence due to the constant presence of a large amount of urine in the urinary tract, dry and pale skin, anemia. Far from all of the listed symptoms are timely pay attention. Most of all patients are disturbed by an upset urination.
In the latent, or compensated, stage of the disease (achalasia of the ureters), there are no characteristic symptoms, which leads to significant diagnostic difficulties and erroneous medical tactics. During this period, patients are usually quite active. The kidneys, as a rule, are not yet enlarged.
However, leukocyturia can already be detected , and with X-ray examination - the expansion of the lower or middle cyst.
In the II stage of the disease there is a dull pain in the abdomen, which is often explained by errors in the diet. Patients complain of general weakness of fast fatigue. Sometimes they have a headache. At this time, persistent pyuria is found, on excretory urograms - expansion of the ureters throughout. The pressure in the upper urinary tract is always elevated. In the lessons of nematograms, only rarely can you see very rare and sluggish contractions of the ureter.
In the III stage, ectasia of the pelvis and calyces of the kidney is noted. Sick children are more susceptible to infection, more often sick, which helps to identify the malformation of ureters. They become lethargic, lagging behind in development from their peers. Often the following symptoms of a mega -ureter appear: headache, abdominal pain, in the lumbar region at the height of the act of urination. The last symptom of a mega -ureter may indicate the presence of PMR. At this stage, the content of residual nitrogen in the blood increases (to 57.1-75.8 mmol / l). Patients have significant morphological changes in the upper urinary tract, the ureters sharply expand, reach 3-4 cm in diameter, and also significantly lengthen (megadolichoureter). Ureterohydronephrosis develops. In the lessons of the nematograms produced in the third stage of the disease, not one patient was found contracting the ureter.
Symptoms of megaureter can be complicated by signs of chronic pyelonephritis, arterial hypertension, chronic kidney failure, sepsis and other diseases.
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