Abstract
SUMMARY Fifty-six cases of duplicated renal systems have been observed by us. Abnormal peristalsis was seen in a high percentage of patients in die present series and in one of these patients pain was of sufficient severity to warrant surgical treatment. The late sequelae of chronic pyelonephritis, renal cortical destruction, pyonephrosis and non-function of an ectopic segment in a duplicated kidney is the direct result of neuromuscular dysfunction of the smooth muscle of the ureter and pelvicalycine system. Recurrent urinary infection and unexplained renal pain have been the common symptoms in adults while vesico-ureteric reflux, urinary tract infection and failure to thrive have been the main features in children. Voiding cysto-ureterography, high dose urography and cinefluorography have been proved to be of value in the diangnosis and subsequent management of our patients.
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