Vesico‐ureteral reflux in children with prenatally detected hydronephrosis: a systematic review

Eerde, Albertien M. van; Meutgeert, M. H.; Jong, Tom P.V.M. de; Giltay, Jacques C.

doi:10.1002/uog.3975

Cited by 46 publications

(15 citation statements)

References 32 publications

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“…It also remains to be determined whether such follow up is warranted and cost-effective given the low incidence of late-occurring significant obstruction. Consequently, some practitioners have recommended discharging children with mild or grade IÀII hydronephrosis on the 1-month US from further surveillance with the recommendation of seeing the child again for UTI or pain [19,102], while others have recommended serial US and UTI surveillance every 6 or 12 months [22] or in 2e3 years [121]. Future prospective studies will be needed to determine the most cost-effective and clinically appropriate follow-up protocol for children with ANH.…”

Section: Follow-up Evaluation For Anhmentioning

confidence: 98%

The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis

Nguyen

Herndon

Cooper

et al. 2010

Journal of Pediatric Urology

590

420

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Section: Follow-up Evaluation For Anhmentioning

confidence: 98%

The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis

Nguyen

Herndon

Cooper

et al. 2010

Journal of Pediatric Urology

590

420

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“…Other authors have proposed that repeated examinations consisting of abdominal ultrasonography and urine testing should be carried out every 6–12 months . Furthermore, there is also an alternative opinion that re‐examination with an interval of 2–3 years is sufficient based on the surveillance results of ultrasonography 1 year after the diagnosis that is made 1 month after birth . To propose a recommended method of follow up for mild CH, a prospective cohort study consisting of a sufficient number of neonates with mild CH is required.…”

Section: Discussionmentioning

confidence: 99%

Natural course of isolated mild congenital hydronephrosis: A 2‐year prospective study at a single center in Japan

et al. 2019

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Objectives To determine a follow‐up plan for mild congenital hydronephrosis in Japanese individuals. Methods Neonates at Kansai Medical University Hospital (Hirakata, Osaka, Japan) who were diagnosed with mild congenital hydronephrosis – defined as a Society for Fetal Urology grade 1 or 2 – at 1‐month old by abdominal ultrasonography between 2014 and 2016 were enrolled. These patients were encouraged to undergo repeated abdominal ultrasonography for 2 years every 3 months to investigate the course of congenital hydronephrosis. Results Among 1009 neonates, congenital hydronephrosis was detected in 118 affected renal units of 100 (9.9%) patients. According to the definition of the Society for Fetal Urology, 118 affected renal units were graded as grade 1 in 87 (74%), grade 2 in 30 (25%), grade 3 in one (1%) and grade 4 in 0 units. Among them, 117 affected renal units of mild congenital hydronephrosis comprising grades 1 and 2 were subjected to ultrasonographic evaluation to monitor the natural course. The rates of resolution at 7, 10, 13, 16, 19, 22 and 25 months after birth in Society for Fetal Urology grades 1 and 2 cases were 60% and 8%, 77% and 19%, 90% and 32%, 92% and 40%, 95% and 52%, 96% and 56%, and 99% and 60%, respectively. Conclusions Grade 1 congenital hydronephrosis does not need to be followed up, because it mostly shows spontaneous resolution by 2 years of follow up without any complications. However, ultrasonographic examinations at 1‐year intervals for grade 2 congenital hydronephrosis are recommended to determine the subsequent follow‐up plan of patients.

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“…Van Eerde et al performed a meta-analysis to review the value of antenatal HN in predicting postnatal VUR [32]. HN was defined as renal pelvic diameter more than 4 mm with or without caliectasis.…”

Section: Indications For Imaging For Suspected Vurmentioning

confidence: 99%

Diagnostic Approach to Reflux in 2007

Davé

Khoury

2008

Advances in Urology

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There is ongoing controversy regarding the association between vesicoureteric reflux (VUR), recurrent urinary tract infections (UTI), and renal damage. Despite this, routine work up for VUR is still recommended after febrile UTI in most children. The present article reviews the indications and imaging modalities available for VUR diagnosis. Alternative newer techniques like MR cystography and voiding urosonography are discussed. The increasing evidence of the role of DMSA scans in managing children with VUR is highlighted.

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Vesico‐ureteral reflux in children with prenatally detected hydronephrosis: a systematic review

Abstract: Objective To investigate the value of prenatally detected hydronephrosis (PNH) as a prognostic factor for vesicoureteral reflux (VUR). Methods

Cited by 46 publications

References 32 publications

The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis

The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis

Natural course of isolated mild congenital hydronephrosis: A 2‐year prospective study at a single center in Japan

Diagnostic Approach to Reflux in 2007

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