Prenatal and Postnatal Management of Hydronephrosis

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Prenatal and Postnatal Management of Hydronephrosis

The majority of pregnant women in the U.S. undergo prenatal ultrasonography and approximately 0.5% of these examinations will detect fetal malformations. Up to one-half of these abnormalities include the genitourinary system and the most common urological finding is hydronephrosis. Some conditions associated with prenatal hydronephrosis portend a poor prognosis, while others can follow a fairly...

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Postnatal Evaluation and Outcome of Prenatal Hydronephrosis

BACKGROUND Prenatal hydronephrosis (PNH) is dilation in urinary collecting system and is the most frequent neonatal urinary tract abnormality with an incidence of 1% to 5% of all pregnancies. PNH is defined as anteroposterior diameter (APD) of renal pelvis ≥ 4 mm at gestational age (GA) of < 33 weeks and APD ≥ 7 mm at GA of ≥ 33 weeks to 2 months after birth. All patients need to be evaluated a...

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The Management of Ureteropelvic Junction Obstruction Presenting with Prenatal Hydronephrosis

The treatment of the newborn diagnosed with a ureteropelvic obstruction prenatally should follow a systematic approach. Although a majority of patients can be followed without surgical intervention, controversy exists concerning appropriate follow-up. Furthermore, a significant number of patients will manifest mild disease and thus deserve abbreviated follow-up. Herein, an appropriate algorithm...

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Postnatal Imaging of Antenatal Hydronephrosis

Radiologic imaging of the newborn detected prenatally with hydronephrosis should follow a systematic approach. Upper and lower urinary tract imaging should be performed in most cases in order to determine the etiology and gauge the use of future imaging. An overview of renal ultrasound, voiding cystourethrography, renal scintigraphy, and magnetic resonance urography in the setting of antenatal ...

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Prenatal hydronephrosis: early evaluation.

PURPOSE OF REVIEW Fetal hydronephrosis is the most common anomaly detected on antenatal ultrasound examination, and its significance and management remain controversial. This review aims to address the early postnatal evaluation of the child with prenatally diagnosed hydronephrosis. RECENT FINDINGS The risk of significant urological pathology increases with the severity of prenatal hydronephr...

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ژورنال

عنوان ژورنال: The Scientific World JOURNAL

سال: 2009

ISSN: 1537-744X

DOI: 10.1100/tsw.2009.85