Antenatal hydronephrosis: a single center's experience and follow-up strategies
This study was performed to evaluate the role of postnatal ultrasonography (US) in predicting the final diagnosis and need of surgery of antenatal hydronephrosis patients. One hundred and twenty six renal units (RUs) of 76 patients with diagnosis of antenatal hydronephrosis (ANH) were studied...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hacettepe University Institute of Child Health
2015-12-01
|
| Series: | The Turkish Journal of Pediatrics |
| Online Access: | https://turkjpediatr.org/article/view/1287 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850023934624268288 |
|---|---|
| author | Neslihan Karakurt Nesrin Beşbaş Ali Cansu Bozacı Yelda Bilginer Hasan Serkan Doğan Serdar Tekgül |
| author_facet | Neslihan Karakurt Nesrin Beşbaş Ali Cansu Bozacı Yelda Bilginer Hasan Serkan Doğan Serdar Tekgül |
| author_sort | Neslihan Karakurt |
| collection | DOAJ |
| description |
This study was performed to evaluate the role of postnatal ultrasonography (US) in predicting the final diagnosis and need of surgery of antenatal hydronephrosis patients. One hundred and twenty six renal units (RUs) of 76 patients with diagnosis of antenatal hydronephrosis (ANH) were studied. An early postnatal US no later than the first week of life was requested. Voiding cystourethrography (VCUG) and/or diuretic renogram (MAG3) was performed in children who had persistent or worsening hydronephrosis to make a certain diagnose of etiology. US findings of different etiologies, and operated/nonoperated groups are compared. Regarding the renal pelvic anteroposterior diameter in the first week postnatal US; mild, moderate, severe, and no HN was detected in 48 (38.1%), 31 (24.6%), 24 (19.0%), and 23 (18.3%) RUs respectively. Eight RUs with a normal first postnatal US were found to have renal anomaly during follow up and 63% of these were vesicoureteral reflux (VUR). Kidneys with mild or moderate HN were likely to have transient dilatation while severe HN was likely to have obstruction. Postpartum follow-up of AHN is a dynamic process. Follow-up must be planned with optimum period of intervals according to clinic and US findings, to select the right patient for surgery or close follow-up.
|
| format | Article |
| id | doaj-art-343fcb25be0741fc9eede80e515c4044 |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2015-12-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-343fcb25be0741fc9eede80e515c40442025-08-20T03:01:14ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212015-12-01576Antenatal hydronephrosis: a single center's experience and follow-up strategiesNeslihan Karakurt0Nesrin BeşbaşAli Cansu BozacıYelda BilginerHasan Serkan DoğanSerdar TekgülDivision of Pediatric Hematology and Oncology, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey. neslihankarakurt@gmail.com. This study was performed to evaluate the role of postnatal ultrasonography (US) in predicting the final diagnosis and need of surgery of antenatal hydronephrosis patients. One hundred and twenty six renal units (RUs) of 76 patients with diagnosis of antenatal hydronephrosis (ANH) were studied. An early postnatal US no later than the first week of life was requested. Voiding cystourethrography (VCUG) and/or diuretic renogram (MAG3) was performed in children who had persistent or worsening hydronephrosis to make a certain diagnose of etiology. US findings of different etiologies, and operated/nonoperated groups are compared. Regarding the renal pelvic anteroposterior diameter in the first week postnatal US; mild, moderate, severe, and no HN was detected in 48 (38.1%), 31 (24.6%), 24 (19.0%), and 23 (18.3%) RUs respectively. Eight RUs with a normal first postnatal US were found to have renal anomaly during follow up and 63% of these were vesicoureteral reflux (VUR). Kidneys with mild or moderate HN were likely to have transient dilatation while severe HN was likely to have obstruction. Postpartum follow-up of AHN is a dynamic process. Follow-up must be planned with optimum period of intervals according to clinic and US findings, to select the right patient for surgery or close follow-up. https://turkjpediatr.org/article/view/1287 |
| spellingShingle | Neslihan Karakurt Nesrin Beşbaş Ali Cansu Bozacı Yelda Bilginer Hasan Serkan Doğan Serdar Tekgül Antenatal hydronephrosis: a single center's experience and follow-up strategies The Turkish Journal of Pediatrics |
| title | Antenatal hydronephrosis: a single center's experience and follow-up strategies |
| title_full | Antenatal hydronephrosis: a single center's experience and follow-up strategies |
| title_fullStr | Antenatal hydronephrosis: a single center's experience and follow-up strategies |
| title_full_unstemmed | Antenatal hydronephrosis: a single center's experience and follow-up strategies |
| title_short | Antenatal hydronephrosis: a single center's experience and follow-up strategies |
| title_sort | antenatal hydronephrosis a single center s experience and follow up strategies |
| url | https://turkjpediatr.org/article/view/1287 |
| work_keys_str_mv | AT neslihankarakurt antenatalhydronephrosisasinglecentersexperienceandfollowupstrategies AT nesrinbesbas antenatalhydronephrosisasinglecentersexperienceandfollowupstrategies AT alicansubozacı antenatalhydronephrosisasinglecentersexperienceandfollowupstrategies AT yeldabilginer antenatalhydronephrosisasinglecentersexperienceandfollowupstrategies AT hasanserkandogan antenatalhydronephrosisasinglecentersexperienceandfollowupstrategies AT serdartekgul antenatalhydronephrosisasinglecentersexperienceandfollowupstrategies |