Experimental partial ureteric obstruction in newborn rats. VII. Are the long term effects on renal morphology avoided by release of the obstruction?

Abstract

Partial obstruction of the left ureter was created in newborn rats. The obstruction was either permanent or was released after two or seven days. The effects were studied at the age of six weeks. The permanently obstructed kidneys characteristically exhibited considerable enlargement (X 18) of pelvic volume and prominent deformation of the papilla, frequently associated with moderate widening of collecting ducts and convoluted tubuli, and focal inflammatory and degenerative lesions. The weight difference between the hydronephrotic and the contralateral, intact kidney was significantly higher than in a sham operated group, although the combined kidney weight was unchanged, indicating a reduction on the obstructed side and a compensatory contralateral hypertrophy. In the group released after seven days, the pelvic volume had returned to normal; nevertheless the parenchymal weight pattern and the histological lesions were similar to those found in animals obstructed for six weeks. In the group released after two days, the pelvic volume had normalized, and the histological changes were less prominent than in animals obstructed for seven days or six weeks. Yet there was a significant difference in parenchymal weight between the hydronephrotic and the contralateral kidney, almost entirely caused by hypertrophy on the nonobstructed side. Thus, the ureteric obstruction must be released very early to avoid parenchymal weight reduction and curb the tissue lesions. On the other hand, the resulting parenchymal damage is moderate and does not seem to progress with time.