Twelve cases of hydronephrosis in utero diagnosed by ultrasonography.

Sanders, R C; Graham, D

doi:10.7863/jum.1982.1.9.341

Cited by 42 publications

(7 citation statements)

References 3 publications

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“…This latter finding is in agreement with other authors' experiences which report diagnosis of the disease at a later stage of gestation than the one observed when other uropathies are diagnosed [11,19]. The hypothesis of a late occurrence in gestation seems quite consistent and possibly related to the marked increase in the fetal urinary production.…”

Section: Discussionsupporting

confidence: 92%

“…Until now eleven papers [1,5,8,10,11,12,14,15,19,20,21] reported a total of 36 cases of fetal hydronephrosis presumably not due to low urinary tract obstruction with controlled neonatal outcomes. Therapeutic abortions were performed in two cases, postnatal surgery in twenty, severe associated malformations occurred in five cases and neonatal mortality was 14% mostly due to malformations other than hydronephrosis.…”

Section: Discussionmentioning

confidence: 99%

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Perinatal management of fetal hydronephrosis with normal bladder

Nicolini¹,

Ferrazzi²,

Kustermann

et al. 1987

Journal of Perinatal Medicine

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This report covers 30 cases of prenatal diagnosis of uni- or bilateral hydronephrosis not associated with an overdistended bladder. Oligohydramnios was observed only in four cases while polyhydramnios occurred in three affected fetuses. In no case was fetal urine aspirated or drained prenatally. Early delivery was performed in four cases with oligohydramnios. Sixteen newborns required surgical correction of the lesion as it was confirmed by urography, following at least two sonographic examinations which confirmed a moderate to severe hydronephrosis after birth. The most frequent lesion was pyelo-ureteric junction obstruction (12 cases). Thirteen cases were normal at follow-up, and in two of these the dilation cleared up during intrauterine life. One case of severe hydronephrosis proved to be a multicystic kidney. In this series isolated hydronephrosis, both uni- or bilateral did not result in fetuses being at high risk for survival (only one infant died after surgery) nor as regards to associated malformations and perinatal morbidity. Provided a properly timed surgical correction was performed, renal function resulted to be good at follow-up.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Perinatal management of fetal hydronephrosis with normal bladder

Nicolini¹,

Ferrazzi²,

Kustermann

et al. 1987

Journal of Perinatal Medicine

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“…Vaginal delivery should be possible, unless the presence of additional pregnancy-related problems dictates other-wise. Harrison et al (1981) and Sanders and Graham (1982) already previously published reports which document the fact that not all cases of bilateral hydronephrosis detected in utero require invasive intervention. This was also recognized at the Kroc conference on fetal surgery in 1982, which led to recommendations concerning management of obstructive uropathy (Harrison et al, 1982b).…”

Section: Discussionmentioning

confidence: 96%

Failure to detect fetal obstructive uropathy by second trimester ultrasound

Wladimiroff¹,

Beemer²,

Scholtmeyer³

et al. 1985

Prenatal Diagnosis

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The prenatal diagnosis, management and outcome of an hereditary obstructive uropathy is presented. Serial ultrasonic assessment of the fetal urinary tract was carried out from the early second trimester onward. Slight bilateral hydronephrosis as a first sign of obstructive uropathy was only established as late as 30 weeks of gestation. On the basis of weekly ultrasound scans, a conservative approach was adopted. In view of fetal maturity, labour was induced at 36 weeks resulting in the vaginal delivery of a male infant with moderate bilateral hydronephrosis. Neonatally, anuria developed due to bilateral obstruction of the ureters as a result of increasing bladder wall hypertrophy due to urethral valves. A bilateral uretero-cutaneostomy was carried out. The infant so far develops normally, and renal function is normal for age. Women at risk for fetal obstructive uropathy should have ultrasonic monitoring throughout pregnancy.

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“…Analysis of the literature [8,16,26,30,44,57,58,70,78,80,86,103,105,110,113] shows that no large series of hydronephrosis with prenatal diagnosis has been published to our knowledge. Most of the cases described in these reports are part of a general review of [57] reported 11 cases of hydronephrosis, although their study was mainly focused on the problems related to shunting of the urinary tract in utero.…”

Section: Discussionmentioning

confidence: 99%