
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Renal agenesis history and symptoms
Introduction
Overview
Overview
Since patients with unilateral renal agenesis (URA) have an increased risk for proteinuria, hypertension, and renal insufficiency, checking for symptoms of these complications should be considered. Checking for other contralateral congenital anomaly of kidney or urinary tract (CAKUT) such as VUR (vesicoureteral reflux) and PUJO (pelviureteric junction obstruction), extra-renal anomalies in different organs (such as cardiac, lung, gastrointestinal, genital, skeleton, and vertebral) , and associated syndromes and sequences (such as VACTERL, CHARGE and Trisomy 18) should be considered when URA is diagnosed.
History
History
Maternal history during pregnancy for the following may be important in unilateral renal disease (URA):[1]
- Uncontrolled diabetes
- Treatment for hypertension
The following may be important to check in the family history of patients with URA:[2]Β
- URA
- CAKUT (congenital anomalies of the kidney and urinary tract)
- End stage renal disease (ESRD)
- Consanguinity
Symptoms
Symptoms
Since patients with unilateral renal agenesis (URA) have an increased risk for proteinuria, hypertension, and renal insufficiency, checking for symptoms of these complications should be considered.[2]
Checking for other contralateral congenital anomaly of kidney or urinary tract (CAKUT) such as VUR (vesicoureteral reflux) and PUJO (pelviureteric junction obstruction), extra-renal anomalies in different organs (such as cardiac, lung, gastrointestinal, genital, skeleton, and vertebral) , and associated syndromes and sequences (such as VACTERL, CHARGE and Trisomy 18) should be considered when URA is diagnosed.[3][4]
References
References
- β Woolf AS, Hillman KA (2007). “Unilateral renal agenesis and the congenital solitary functioning kidney: developmental, genetic and clinical perspectives”. BJU Int. 99 (1): 17β21. doi:10.1111/j.1464-410X.2006.06504.x. PMIDΒ 16956352.
- β 2.0 2.1 Xu Q, Wu H, Zhou L, Xie J, Zhang W, Yu H; et al. (2019). “The clinical characteristics of Chinese patients with unilateral renal agenesis”. Clin Exp Nephrol. 23 (6): 792β798. doi:10.1007/s10157-019-01704-x. PMIDΒ 30734167.
- β Laurichesse Delmas H, Kohler M, Doray B, LΓ©mery D, Francannet C, Quistrebert J; et al. (2017). “Congenital unilateral renal agenesis: Prevalence, prenatal diagnosis, associated anomalies. Data from two birth-defect registries”. Birth Defects Res. 109 (15): 1204β1211. doi:10.1002/bdr2.1065. PMIDΒ 28722320.
- β Westland R, Schreuder MF, Ket JC, van Wijk JA (2013). “Unilateral renal agenesis: a systematic review on associated anomalies and renal injury”. Nephrol Dial Transplant. 28 (7): 1844β55. doi:10.1093/ndt/gft012. PMIDΒ 23449343.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
