The article presents modern technologies of medical rehabilitation of children operated for
hydronephrosis. The importance of medical rehabilitation of children with
hydronephrosis is associated with high incidence, possibility of developing
chronic kidney disease, and early disability of these patients. After surgery on the ureter it is important to use medical rehabilitation technologies aimed at preventing urodynamics disorders of upper and lower urinary tract, and at stimulation of regenerative processes. In recent years, particular attention has been paid to high-intensity pulsed electromagnetic field
therapy, which has a more significant and long-term stimulating effect compared to various types of electrical stimulation. Clinical studies were conducted in 80 children operated for
hydronephrosis, aged 3 to 15. The main group consisted of 40 children who received high-intensity pulsed magnetic
therapy, and 40 children were included in the control group (without physiotherapy). Basic treatment included uroseptics and
exercise therapy. Effectiveness of the method was assessed using clinical, laboratory and ultrasound data, and Doppler ultrasound of the renal blood flow. The results of the study demonstrated the rationale of including high-intensity pulsed electromagnetic field
therapy in medical rehabilitation of children operated for
hydronephrosis. The positive effect of high-intensity pulsed
electromagnetic therapy on the urodynamics of the urinary tract (reduction in the size of renal pelvis and calyx) and renal blood flow (restoration of blood flow to the renal cortex) were revealed. This method helped to reduce
inflammation in the renal parenchyma (reduction of
proteinuria, leukocyturia) in children operated on for
hydronephrosis. A significantly higher effectiveness of medical rehabilitation with the use of high-intensity pulsed magnetic
therapy was proved (87.5%).