Background:The term pelvic-ureteric obstruction denotes a restriction of flow of urine from the renal pelvis to the ureter which if left uncorrected will lead to progressive renal deterioration. Today majority of the cases are identified and diagnosed in the perinatal period (1,9). To a lesser degree it is also seen in childhood and adolescence period. However not all the cases of PUJ obstruction require surgery Aim: A retrospective analysis of antenatally detected cases of hydronephrosis was done to elucidate the postnatal outcome and management on a prolonged follow up.
Materials and Method:From about 5000 antenatal ultrasound scans carried out at our institute annually from NOVEMBER 2011 to JANUARY 2014, total 49 cases were suggestive of hydronephrosis;34 out of these 49(70%) were diagnosed as Pelvi-ureteric junction obstruction.
Setting and Design:A retrospective study of patients with hydronephrosis detected on antenatal ultrasound scan from NOVEMBER 2011 to JANUARY 2014.Results: 9 out of 34 babies (25%) detected to have Pelvi-ureteric junction obstruction on antenatal ultrasound were transient obstructions. Out of the remaining 25 cases,7(28%) did well on observation alone and did not require surgery while the rest 18 (72%) required surgical intervention.
Conclusion:Conservative management of Pelvi-ureteric junction obstruction is a safe procedure, provided diligent follow up is maintained and surgical intervention is done in case of deterioration of renal function or presence symptoms or both.
Satistics and analysis:The study was subjected to bi-variable analysis with two test preparation and was statistically significant while p<0.05.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.