Correlation of Prenatal Renal Pelvic Anteroposterior Diameter with Outcome in Infancy

Stocks, Alton; Richards, Douglas; Frentzen, Barbara; Richard, George A.

doi:10.1016/s0022-5347(01)66388-2

Cited by 65 publications

(14 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, several studies have previously demonstrated that pelvic diameter in utero is correlated with pelvic diameter after birth. 9,10 Our study also failed to systematically assess renal function at the biochemical level. However, our results demonstrating a very high rate of spontaneous resolution, coupled with normal longitudinal renal growth in all patients and with other published data demonstrating normal glomerular filtration rate in moderately and severely affected patients, 7 suggest a strong likelihood that serum creatinine levels are normal in our patients.…”

Section: Resultsmentioning

confidence: 95%

Outcome of Isolated Antenatal Hydronephrosis

Cheng¹,

Phan²,

Geary³

et al. 2004

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 95%

Outcome of Isolated Antenatal Hydronephrosis

Cheng¹,

Phan²,

Geary³

et al. 2004

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

show abstract

“…Several studies have shown a broad range of postnatal diagnoses in children with antenatal hydronephrosis5, 11–15, offering little support for the counseling obstetrician. Parents show less interest in a specific diagnosis, but rather want to know the prognosis and whether their child will need medical treatment after birth, e.g.…”

Section: Introductionmentioning

confidence: 99%

Outcome of fetal renal pelvic dilatation diagnosed during the third trimester

Wollenberg

Neuhaus

Willi

et al. 2005

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

“…20 Furthermore, pediatric ultrasound screening programs for kidney abnormalities are controversial: although some authors suggest that a postnatal ultrasound screening is essential for the early detection of uropathies missed on prenatal examinations, 8,21,22 others affirm that it is of no value in detecting those who may have ureteric reflux, and the number of other renal abnormalities likely to be detected is too small to justify a screening program. 13,[23][24][25][26][27] Ultrasound monitoring of fetal well-being by evaluating the amniotic fluid volume in pregnancies at term is common at present. 9 Measuring the fetal renal pelvis during this routine scan is feasible and does not require specific skills.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Screening for Congenital Pyelectasis in Term Pregnancies

Ciardelli

Rizzo²,

Lanari³

et al. 2005

Am J Perinatol

View full text Add to dashboard Cite

The purpose of this study was to compare the role of antenatal ultrasound screening for congenital pyelectasis at term with postnatal screening. An ultrasonographic prospective study of 231 fetuses of low-risk pregnancies was performed, evaluating the renal pelvis at term (38 to 42 weeks gestation) and after birth (first and third months of life). Cut-off points used were 9 mm antenatally, and 10 and 12 mm, respectively postnatally, all in an anteroposterior view. A sensitivity of 20% and a specificity of 93.4% was obtained when comparing the antenatal versus the third-month scan, whereas when we compared the sonograms from the first versus the third month of life, we found a sensitivity of 60% and a specificity of 89.7%, with a positive predictive value of 14.7% in the first case and 25% in the second case. A p value < 0.001 was obtained when comparing the sensitivities; a p value of 0.2 was reported when comparing the specificities. Data on a comparative screening of the renal pelvis measured antenatally at term and postnatally do not exist. Although it is extremely feasible, the measurement of the fetal renal pelvis during the routine ultrasound scan at term of gestation seems of no benefit in terms of sensitivity and positive predictive values in identifying infants affected by congenital pyelectasis. Because of the low values of sensitivity obtained in our study, a screening program for the renal pelvis dilation both in fetuses and newborns cannot be recommended.

show abstract

Correlation of Prenatal Renal Pelvic Anteroposterior Diameter with Outcome in Infancy

Abstract: When these screening criteria for hydronephrosis are met prenatally a complete radiological assessment should be done following birth.

Cited by 65 publications

References 17 publications

Outcome of Isolated Antenatal Hydronephrosis

Outcome of Isolated Antenatal Hydronephrosis

Outcome of fetal renal pelvic dilatation diagnosed during the third trimester

Ultrasound Screening for Congenital Pyelectasis in Term Pregnancies

Contact Info

Product

Resources

About