Congenital Renal and Urinary Tract Anomalies in Selected Neonates

Karambelkar, Geeta; Malwade, Sudhir; Agarkhedkar, Sharad; Singh, Anshuman; Salunkhe, Shradha; Saini, Namarata

doi:10.18410/jebmh/2016/264

Cited by 3 publications

(11 citation statements)

References 27 publications

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“…20 Hydronephrosis accounted for the most common antenatally diagnosed CAKUT, seen in 28 out of 65 cases (43.1%) which was consistent with the fi ndings of various other similar studies. [18][19][20] Also the observation that abnormalities of the renal collecting system were more common than those of the renal parenchyma was similar to that of various other similar studies. 18,19 During our study we observed that antenatally, bilateral mild hydronephrosis was most common (53.6%).…”

Section: Discussionsupporting

confidence: 87%

“…[18][19][20] Also the observation that abnormalities of the renal collecting system were more common than those of the renal parenchyma was similar to that of various other similar studies. 18,19 During our study we observed that antenatally, bilateral mild hydronephrosis was most common (53.6%). However in various other similar studies, it was observed that the left kidney was more often the site for hydronephrosis.…”

Section: Discussionsupporting

confidence: 87%

“…In the study by G. R. Karambelkar, 10 out of the 11 cases of antenatally diagnosed hydronephrosis continued to persist postnatally. 19 During our study, the persistence of CAKUT postnatally was signifi cantly more among male neonates as compared to female. This was similar to the fi ndings of the study conducted by H. A. Choi et al, where the male:female ratio was 1.8:1.…”

Section: Discussionmentioning

confidence: 49%

“…This fi nding did not match with that of other similar studies where the percentage of associated oligohydramnios was higher. 19,20 In a similar study by G. R. Karambelkar, carried out at Pune, India, where the sample size was 40, 11 i.e, 27.5% of the cases had associated oligohydramnios. 1 In the study by N.S.…”

Section: Discussionmentioning

confidence: 99%

“…However in various other similar studies, it was observed that the left kidney was more often the site for hydronephrosis. 18,19 On postnatal day three scan, 25% (seven out of 28) of antenatally detected hydronephrosis showed resolution. In the study by G. R. Karambelkar, 10 out of the 11 cases of antenatally diagnosed hydronephrosis continued to persist postnatally.…”

Section: Discussionmentioning

confidence: 99%

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Study of Congenital Anomalies of the Kidneys and Urinary Tract in Neonates

Chougule

Purkayastha

Lewis

et al. 2018

J. Nepal Paedtr. Soc.

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Introduction: Congenital anomalies of the kidneys and urinary tract (CAKUT) comprise various structural malformations that result from defects in morphogenesis of the kidney and/or urinary tract. In most cases, CAKUT are associated with infant mortality and morbidity in older children and adults. Hence this study was undertaken to follow up antenatally diagnosed cases of CAKUT and see their outcome in the first six months of life. Material and Methods: An observational follow up study was conducted in the department of Paediatrics in a tertiary care hospital. All inborn neonates, whose antenatal anomaly scans showed the presence of CAKUT were included in the study. Abdominal ultrasound (USG) were done on day three of life for all these neonates and those whose day three USGs showed presence of CAKUT were followed up over a period of six months and outcome was assessed. Results: CAKUT was more common among males. Hydronephrosis was the most common CAKUT in antenatal scans. Anomalies of the renal collecting system formed 93.9% of all CAKUT detected on antenatal anomaly scan and 57.4% of these resolved by six months of age. Abnormalities of the renal collecting system together formed 93.9% of all antenatally diagnosed CAKUT and were more common than abnormalities of the renal parenchyma which formed 6.1%. Postnatal resolution on day three USG was seen in seven out of 22 (31.8%) cases of antenatally diagnosed mild hydronephrosis irrespective of their site. Out of the 28 antenatally diagnosed hydronephrosis, 11 (39.3%) resolved at some point during the follow up period of six months. Conclusions: Antenatally diagnosed CAKUT were more common among male foetuses. On day three scan, 29.2% of CAKUT showed resolution. Hydronephrosis remained the most common antenatally as well as postnatally detected CAKUT. Anomalies of renal collecting system were better detected by antenatal scans than anomalies of renal parenchyma

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Study of Congenital Anomalies of the Kidneys and Urinary Tract in Neonates

Chougule

Purkayastha

Lewis

et al. 2018

J. Nepal Paedtr. Soc.

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Characteristic Patients With Urogenital System Congenital Abnormalities in at RSMH Palembang

Novianti

Triwani

Roflin

2019

MKS

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Penelitian terbaru menunjukkan peningkatan kejadian kelainan kongenital pada sistem urogenital yang menduduki urutan terbanyak kedua dalam suatu populasi. Penyebabnya bersifat multifaktorial. Penelitian ini bertujuan untuk mengetahui karakteristik penderita kelainan kongenital pada sistem urogenital. Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional. Populasi penelitian adalah rekam medik dari pasien kelainan kongenital pada sistem urogenital.Distribusi karakteristik pasien terbanyak adalah kelompok usia 6-11 tahun (36%), laki-laki (90%), berat badan lahir normal (81%), usia gestasi normal (84%) dan tanpa riwayat keluarga dengan kelainan kongenital (99%). Distribusi karakteristik ibu terbanyak adalah usia hamil 25-35 tahun (50%), paritas 0 (54%), indeks massa tubuh pra-hamil normal (72%), tanpa riwayat consanguinity (100%), tidak ada riwayat penyakit sebelum dan atau selama kehamilan (95%), riwayat paparan rokok (98%), dan pekerjaan sebagai ibu rumah tangga (57%). Distribusi karakteristik ayah terbanyak adalah riwayat terpapar rokok (100%) dan pekerjaan petani (29%). Karakteristik pasien terbanyak meliputi: usia pasien saat operasi adalah 6-11 tahun, laki-laki, berat badan lahir normal, usia gestasi normal dan tidak ada riwayat keluarga. Karakteristik ibu terbanyak meliputi: usia ibu hamil 25-35 tahun, nulipara, indeks massa tubuh pra-hamil normal, tidak ada riwayat consanguinity, tidak menderita penyakit sebelum dan atau selama kehamilan, terpapar rokok dan bekerja sebagai ibu rumah tangga. Karakteristik ayah terbanyak meliputi: pernah terpapar rokok dan bekerja sebagai petani.

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Observational Study of Fetal Outcome of Pregnancies Antenatally Diagnosed on Ultrasound to Have Isolated Fetal Urological Congenital Anomalies

Dahiwade¹,

Narvekar²,

Garude³

et al. 2022

Journal of South Asian Federation of Obstetrics and Gynaecology

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Background: Most common severe congenital anomalies are birth defects, neural tube defects, and Down syndrome. Congenital anomalies of the kidney and urinary tract anatomy (CAKUT) are common in children and represent approximately 30% of all prenatally diagnosed malformations. The spectrum includes more common anomalies such as vesicoureteral reflux and, rarely, more severe malformations such as bilateral renal agenesis. Materials and methods:The present study was an observational prospective study, conducted in tertiary maternity hospital affiliated to a medical college in a metropolitan city. The study subjects were recruited in the study at the time of delivery or at the time of termination of pregnancy through universal sampling of all patients who register at Maternity Hospital. Study period was of 18 months, i.e., from February 2017 to August 2018. Results:The antenatal diagnosis of urological anomalies was made in second trimester in 50%. 57.4% were male fetuses and 42.6% were female. Six fetuses underwent medical termination of pregnancy. Of the 54 cases born, 3 babies were stillborn, 3 babies died, and 84% survived till the 28th day of life. Most common anomaly diagnosed was hydronephrosis (51%), followed by renal agenesis (12.7%) and polycystic kidney (12.7%). Conclusion:It can be said that antenatal and postnatal USG are good diagnostic tools when it comes to diagnosing congenital urological anomalies. Any suspected case of congenital urological anomaly should be referred to a tertiary care setup where NICU facilities are available.

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Congenital Renal and Urinary Tract Anomalies in Selected Neonates

Cited by 3 publications

References 27 publications

Study of Congenital Anomalies of the Kidneys and Urinary Tract in Neonates

Study of Congenital Anomalies of the Kidneys and Urinary Tract in Neonates

Characteristic Patients With Urogenital System Congenital Abnormalities in at RSMH Palembang

Observational Study of Fetal Outcome of Pregnancies Antenatally Diagnosed on Ultrasound to Have Isolated Fetal Urological Congenital Anomalies

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