Clinical Outcomes of Children With Prenatal Hydronephrosis Prenatal Hydronephrosis
Journal of Pediatric Nephrology,
Vol. 10 No. 3 (2022),
12 December 2022
,
Page 134-138
https://doi.org/10.22037/jpn.v10i3.39077
Abstract
Background: Fetal hydronephrosis (HY) is a frequent congenital condition that may be
detected by prenatal ultrasound studies. The main underlying abnormalities found in these
cases after birth are ureteropelvic junction stenosis, primary vesicoureteral reflux, megaureter,
duplex kidneys, and posterior urethral valves, with uretero-pelvic junction stenosis and
primary vesicoureteral reflux accounting for most cases.
Method: Neonates with a prenatal diagnosis of congenital HY born between 2017 and 2020
were referred to our center for the appropriate management and follow-up and were included
in this cross-sectional study. Ultrasonographic studies were performed in all these neonates
in the first week of birth. Prenatal HY was categorized as mild, moderate, severe, and highly
severe when the antero-posterior diameter of the renal pelvis was less than 5 mm, between 5
mm and 10 mm, between 10 mm and 15 mm, and more than 15 mm, respectively.
Results: A total of 164 children with prenatal HY were included in this study. 84 patients
(51.2%) had unilateral HY and 80 patients (48.8%) had bilateral HY. Twelve patients had
posterior ureteral valves and 64 patients (39%) had vesical-urethral reflux (VUR). no
significant relationship was observed between unilateral or bilateral reflux and outcome (P
value 0.645).
Conclusion: Prenatal screening of HY is vit
- Neonate
- Hydronephrosis (HY)
- Diagnostic ultrasound
- Vesicoureteral reflux (VUR)
- Ureteropelvic junction stenosis
How to Cite
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