Application of the postnatal urinary tract dilation classification system to predict the need for surgical intervention among neonates and young infants

Hwang, Ji-Sun; Kim, Pyeong Hwa; Yoon, Hyung Ku; Song, Sang Hoon; Jung, Ah Young; Lee, Jin Seong; Cho, Young Ah

doi:10.14366/usg.22035

Cited by 6 publications

(1 citation statement)

References 26 publications

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“…The presence of APD ≥15 mm, peripheral calyceal dilation, ureteral dilation, parenchymal thickness abnormality, and bladder abnormality was significantly associated with the surgical approach to therapy. 18 Melo, in a study spanning 30 years, followed up 447 infants with isolated AH for a mean of 9 years. The mean APD was 10 mm, and the frequencies of cases based on SFU grades were 41%, 16%, 12%, and 31% for grades 1, 2, 3, and 4, respectively.…”

Section: Discussionmentioning

confidence: 99%

The Role of Varied Sonographic Criteria for Predicting Treatment and Prognosis of Antenatal Hydronephrosis: A Retrospective Cohort Study

Jafari,

Abedi,

Jafari Sarouei

et al. 2024

Journal of Diagnostic Medical Sonography

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Objective: This study aimed to compare the Society of Fetal Urology (SFU) guidelines, the anteroposterior pelvic diameter (APD), and the urinary tract dilation (UTD) classification criteria for predicting the prognosis of antenatal hydronephrosis (AH). Materials and Methods: This was a retrospective analysis of the relationship among the three classification criteria and their contribution to the diagnosis and prognosis of possible AH in a cohort of neonates. Results: This study was a retrospective review of 290 neonates. The mean age was 16.4 ± 9.0 days, and 33% of the study population comprised female babies. An image review demonstrated that 35% of the patients had severe vesicoureteral reflux (VUR), 22% exhibited severe obstruction, 40% had transient hydronephrosis, and 9% required surgery. The antenatal SFU grading criteria demonstrated a significant relationship with severe obstruction, and the postnatal SFU grading was related to the severity of VUR. The highest sensitivity for the presence of VUR for surgical intervention was obtained for prenatal SFU-1 (100%). The highest specificity was for prenatal SFU-4 (96%) for the presence of VUR, prenatal SFU-4 (99%), and postnatal SFU-4 (94%) for surgical intervention. Conclusion: No reliable sonographic findings were found to predict VUR or severe ureteropelvic junction obstruction. The SFU grading during the postnatal period may predict VUR with low sensitivity and specificity. However, all three classification criteria contributed to the evaluation of the need for treatment in this cohort.

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Section: Discussionmentioning

confidence: 99%

The Role of Varied Sonographic Criteria for Predicting Treatment and Prognosis of Antenatal Hydronephrosis: A Retrospective Cohort Study

Jafari,

Abedi,

Jafari Sarouei

et al. 2024

Journal of Diagnostic Medical Sonography

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Urinary tract dilation classification system for predicting surgical management and urinary tract infection in neonates and young infants: a systematic review and meta-analysis

Kim,

Hwang,

Pai

et al. 2024

Pediatr Radiol

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Tracheoesophageal Fistula With Esophageal Atresia: A Case Series

Wolfe,

Jnah

2024

Neonatal Network

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Tracheoesophageal fistula (TEF) with or without esophageal atresia (EA) results from maldevelopment of the trachea and esophagus during maturation of the primitive foregut. EA/TEF commonly presents shortly after birth because of increased oral secretions and the inability to advance a nasogastric or orogastric tube to the proper depth. Given that prenatal diagnosis is uncommon and early intervention is important to reduce morbidity and mortality risk, early recognition and diagnosis are imperative. We present a case series of two neonates diagnosed with EA/TEF, type “C” and type “E,” born at low-acuity centers, who required transport to a tertiary center for surgical support. The pathophysiology as well as types of TEFs, symptomology, stabilization goals, corrective treatment, and long-term implications will be examined. Finally, the educational needs of parents and caregivers will be discussed.

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Application of the postnatal urinary tract dilation classification system to predict the need for surgical intervention among neonates and young infants

Cited by 6 publications

References 26 publications

The Role of Varied Sonographic Criteria for Predicting Treatment and Prognosis of Antenatal Hydronephrosis: A Retrospective Cohort Study

The Role of Varied Sonographic Criteria for Predicting Treatment and Prognosis of Antenatal Hydronephrosis: A Retrospective Cohort Study

Urinary tract dilation classification system for predicting surgical management and urinary tract infection in neonates and young infants: a systematic review and meta-analysis

Tracheoesophageal Fistula With Esophageal Atresia: A Case Series

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