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Follow-up of early unilateral nephrectomy for hypertension

Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK

Correspondence to:
Correspondence to:
Malcolm G Coulthard
Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle-upon-Tyne NE1 4LP, UK; malcolm.coulthard{at}nuth.nhs.uk

ABSTRACT
Early unilateral nephrectomy was carried out in four young children with unilateral renovascular disease, a poorly functioning kidney and hypertension. At follow-up 5–16 years later all showed normal growth, blood pressure and renal function, and only one child had low-grade albuminuria. Unilateral nephrectomy seems to be a safe and effective alternative to long-term hypotensive treatment.

Keywords: unilateral nephrectomy; hypertension; infants; treatment options; follow-up