Uropathies malformatives de diagnostic anténatal: prise en charge néonatale et devenir de 100 enfants nés entre 1988 et 1990 au CHU d'Angers

Radet, C; Champion, G; Grimal, I; Duverne, Céline; Coupris, L; Giniès, J.L.; Limal, Jean-Marie

doi:10.1016/s0929-693x(96)89511-x

Cited by 7 publications

(3 citation statements)

References 24 publications

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“…Despite the fact that congenital urinary tract anomalies are currently diagnosed earlier and more frequently, conflicting prenatal ultrasound diagnostic criteria and divergent strategies of postnatal management have been reported [2]. Furthermore, there is no consensus in the medical literature about guidelines for investigation and treatment of infants with antenatally diagnosed renal pelvis dilatation [3,4]. Moreover, the attitude of physicians involved in the management of fetal urinary tract abnormalities has rarely been investigated [5].…”

Section: Introductionmentioning

confidence: 99%

Current management of infants with fetal renal pelvis dilation: a survey by French-speaking pediatric nephrologists and urologists

et al. 2004

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To analyze the current management recommendations among French-speaking physicians treating infants with antenatal renal pelvis dilatation, we surveyed 83 pediatric nephrologists and 68 pediatric urologists by questionnaire. A total of 45 (54%) pediatric nephrologists and 38 (56%) pediatric urologists responded. The threshold for the diagnosis of abnormal fetal renal pelvis dilatation was significantly higher among pediatric urologists than nephrologists. All responders perform renal ultrasound examinations after birth. Postnatal renal pelvis dilatation was considered abnormal if the anteroposterior diameter was >/=11+/-1.9 mm by the pediatric urologists and >/=9+/-2.9 mm by the pediatric nephrologists ( P=0.003). Pediatric urologists were more likely than nephrologists to recommend routine voiding cystourethrography [41% versus 20% ( P=0.04)]. Mercaptoacetyl-triglycine renography was the most routinely used tool to achieve functional evaluation during follow-up among the responders. Pediatric urologists were more likely to recommend surgical treatment in dilated kidneys with initial function <40%. In conclusion, pediatric urologists had significantly higher thresholds for the detection of prenatal and neonatal renal pelvis dilatation. They also more frequently recommended routine voiding cystourethrography and surgical therapy of dilated kidneys with low function than pediatric nephrologists. The variability in attitudes is most probably due to the absence of clear guidelines based on prospective and controlled trials.

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Section: Introductionmentioning

confidence: 99%

Current management of infants with fetal renal pelvis dilation: a survey by French-speaking pediatric nephrologists and urologists

et al. 2004

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“…Almost half of our patients had a renal failure. The progression of urinary malformations to renal failure is the most serious and potentially life-threatening complication [20]. In the European and American series, renal failure due to CAKUT was variable.…”

Section: Discussionmentioning

confidence: 99%

Congenital Abnormalities of Kidneys and Urinary Tract in Children at the Dakar University Hospital

Kéïta¹,

Thiongane²,

Fatou³

et al. 2022

OJPed

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Congenital abnormalities of the kidneys and urinary tract (CAKUT) represent all the morphological abnormalities associated with a disorder of the embryonic development of the kidneys and their excretory tract. Its prevalence is underestimated in developing countries compared to developed countries. This was a cross-sectional and descriptive study between January 1st, 2015 and February 28th, 2020, carried out in the pediatric department of Aristide Le Dantec Hospital. The prevalence of CAKUT was 8.77% for all pediatric nephrologic pathologies (n = 58), the median age at diagnosis was 77.28 months and the sex ratio was 1.6. The circumstances of the discovery of CAKUT were dominated by urinary tract infection (n = 21), the antenatal diagnosis was poor (n = 13) and confusion between cysts and calyx dilation in antenatal was noted. Ultrasound was the main postnatal imaging test requested. The most common renal abnormality was kidney cysts (n = 18) (cystic kidneys and multicystic dysplastic kidney) and the most common urological abnormality was the posterior urethral valves (n = 8). Kidney failure was a pejorative factor in the evolution of these CAKUT.

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“…This occured within a mean duration of 8.85± 4.6 weeks after the first symptoms and was as long as 5 years. This late access to care, usual in Africa would be explained by the often precarious socio-economic conditions, the nonexistence of Social Security cover for health-related expenditure According to Radet et al [7], there is no emergency in the management of these uropathies. We similarly noted in our study the rarity of urological symptoms (27.6% of fortuitous discovery) which could partly explain this delay till the first consultation.…”

Section: Discussionmentioning

confidence: 99%

Paediatric ¶Urologic Pathologies In Two Hospitals Of Reference In Cotonou (BENIN): ¶ ¦Etiologic¦ And Therapeutic Aspects ¶

2013

IJU

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Background. Urologic pathologies of children are dominated by congenital malformations of the kidneys and urinary tract. ¦ ¶Their management is often surgical. ¶ Objective: The general objective of this survey was to study etiological ¦¦ and therapeutic aspects of urologic pathologies in children.Patients and methods: Data for aetiology, treatment and results in children hospitalized at the Paediatric Surgery services of two National Teaching Hospitals ¦in ¦Cotonou were retrospectively analyzed from January 2002 to December 2011. ¶ ¶Results. A total of 257 patients with complete data were evaluated. Urologic pathologies represented 4.8% of the hospitalizations in paediatric surgery, with an incidence of 26 cases per year. ¶The mean age was 4.9 ± 3.2 years (age between one 1 week and 14 years). ¶The sex-ratio was equal to 14.14. Cryptorchidism, ¶ ¦hydrocele¦, ¦nephroblastoma¦, the posterior ¦urethral valves¦, ureteropelvic junction obstructions¦ ¦, post-circumcision haemorrhage and ¦hypospadias¦ were the most frequent pathologies. Congenital urologic malformations ¶¦represented 81.3 %, followed neoplastic pathologies (7.9 %), traumatic pathologies (6.1 %) and others (4.7 %). The disorders of male genitalia were more frequent and constituted 69.3 % of the cases. ¶The anomalies of the urinary tract were 30.7 % and intersex disorders 1.2%. ¶ The mean consultation's duration of children with urologic pathologies was 8.85± 4.6 weeks. ¶The treatment was often surgical with a mortality of 2.8 %. ¶

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Uropathies malformatives de diagnostic anténatal: prise en charge néonatale et devenir de 100 enfants nés entre 1988 et 1990 au CHU d'Angers

Cited by 7 publications

References 24 publications

Current management of infants with fetal renal pelvis dilation: a survey by French-speaking pediatric nephrologists and urologists

Current management of infants with fetal renal pelvis dilation: a survey by French-speaking pediatric nephrologists and urologists

Congenital Abnormalities of Kidneys and Urinary Tract in Children at the Dakar University Hospital

Paediatric ¶Urologic Pathologies In Two Hospitals Of Reference In Cotonou (BENIN): ¶ ¦Etiologic¦ And Therapeutic Aspects ¶

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