Prenatal diagnosis: What do we know of long-term outcomes?

Thomas, David F.

doi:10.1016/j.jpurol.2010.01.013

Cited by 25 publications

(18 citation statements)

References 39 publications

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“…The evaluation and selection of cases for in utero intervention is beyond the scope of this guideline, but treating physicians should be aware that many tertiary care centers offer interventions, such as vesico-amniotic shunting in selected cases of bladder outlet obstruction in the setting of multidisciplinary teams. The impact of prenatal diagnosis of HN is also a subject of lengthy discussion; one is referred to the excellent reviews by Thomas (3,4).…”

Section: Antenatal Vs Postnatal Followupmentioning

confidence: 99%

Canadian Urological Association/Pediatric Urologists of Canada guidelines on the investigation and management of antenatally detected hydronephrosis

Capolicchio¹,

Braga²,

Szymański³

2017

CUAJ

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Section: Antenatal Vs Postnatal Followupmentioning

confidence: 99%

Canadian Urological Association/Pediatric Urologists of Canada guidelines on the investigation and management of antenatally detected hydronephrosis

Capolicchio¹,

Braga²,

Szymański³

2017

CUAJ

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“…Bazen karında asemptomatik, düzgün kenarlı ve transillüminasyon veren yumuşak kistik kitle ile kendini gösterir. Nadiren büyük çocuklar, yan ağrısı veya karın ağrısı, bulantı, İYE ve böbrek taşı yakınmaları ile başvurabilir (9) .…”

Section: Tanisal Değerlendi̇rmeunclassified

Uretero-pelvic junction obstruction

Önen¹

2016

TCCD

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Uretero-pelvic junction obstruction Although there are many studies in the literature, diagnostic evaluation, followup and optimal therapy of antenatal hydronephrosis is an ongoing challenge between different disciplines. Main discussion continues on indications for invasive diagnostics and surgery in infants with asymptomatic primary UPJ-type hydronephrosis. Due to the fact that the majority of UPJ-type hydronephrosis are temporary and physiologic, the vast majority of them resolve spontaneously without obstruction and renal damage. Therfore, many need only proper followup depending on the severity of hydronephrosis. However, a small number of neonatal UPJ type hydronephrosis persist and need prompt surgical correction do to renal damage.

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“…While most experts suggest that pyeloplasty be considered in patients showing obstructed drainage and differential function below 40%,[137–139] others propose surgery at differential function below 35%,[140] or an obstructed renogram with prolonged t 1/2 > 20 min. [141]…”

Section: Postnatal Evaluation and Managementmentioning

confidence: 99%

“…[117] The presence of large APD exceeding 20-30 mm predicts the need for surgery in 50-55% patients. [139146–148] Surgery allows preservation of renal function in the majority; predictors of unsatisfactory outcome include baseline differential function <30%[149] and renal APD >50 mm with dilated calyces. [148]…”

Section: Postnatal Evaluation and Managementmentioning

confidence: 99%

Revised guidelines on management of antenatal hydronephrosis

Sinha

Bagga

Krishna³

et al. 2013

Indian J Nephrol

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Widespread antenatal screening has resulted in increased detection of anomalies of the kidneys and urinary tract. The present guidelines update the recommendations published in 2000. Antenatal hydronephrosis (ANH) is transient and resolves by the third trimester in almost one-half cases. The presence of oligohydramnios and additional renal or extrarenal anomalies suggests significant pathology. All patients with ANH should undergo postnatal ultrasonography; the intensity of subsequent evaluation depends on anteroposterior diameter (APD) of the renal pelvis and/or Society for Fetal Urology (SFU) grading. Patients with postnatal APD exceeding 10 mm and/or SFU grade 3-4 should be screened for upper or lower urinary tract obstruction and vesicoureteric reflux (VUR). Infants with VUR should receive antibiotic prophylaxis through the first year of life, and their parents counseled regarding the risk of urinary tract infections. The management of patients with pelviureteric junction or vesicoureteric junction obstruction depends on clinical features and results of sequential ultrasonography and radionuclide renography. Surgery is considered in patients with increasing renal pelvic APD and/or an obstructed renogram with differential renal function <35-40% or its subsequent decline. Further studies are necessary to clarify the role of prenatal intervention, frequency of follow-up investigations and indications for surgery in these patients.

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Prenatal diagnosis: What do we know of long-term outcomes?

Cited by 25 publications

References 39 publications

Canadian Urological Association/Pediatric Urologists of Canada guidelines on the investigation and management of antenatally detected hydronephrosis

Canadian Urological Association/Pediatric Urologists of Canada guidelines on the investigation and management of antenatally detected hydronephrosis

Uretero-pelvic junction obstruction

Revised guidelines on management of antenatal hydronephrosis

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