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The management of severe ureteric anomalies in infancy.

Sixteen infants with severe ureteric anomalies were admitted to the Paediatric Unit over the years 1980-81. The two principal aims of treatment were firstly, initial resuscitation and the treatment of severe sepsis, thereby mostly avoiding early operative urinary diversion, and secondly to proceed to corrective surgery when the infant was sufficiently recovered. Initial management included resuscitation, intravenous antibiotics, parenteral nutrition, and where necessary bladder drainage by urethral catheter. Peritoneal dialysis was not required. The diagnosis was established by urography and ultrasound. Surgical urinary diversion was performed on only two of the cases, and results from early corrective surgery have been satisfactory.