Vesicostomy Revisited: The Best Treatment for the Hostile Bladder in Myelodysplastic Children?

calculated risk of hypertension from this review (5 in 1,000 cases) is smaller than in some published reports in the general population of children between age 4 years and adolescence. We have followed children with unilateral MCDK with ultrasounds performed at frequent intervals in the first 3 years of life (averaging every 6 months) and then annually until age 8. This evaluation schedule may result from habit rather than from a logical plan based on careful study. Narchi demonstrates that few hard data exist to validate the number of studies performed annually in children with MCDK. Pediatricians need to be aware that these children require blood pressure evaluation, from a practical standpoint probably during the well child visit. However, it is safe to say that the vast majority of these children do perfectly well without surgical removal of the multicystic dysplastic kidney.