Early management and postnatal investigation of prenatally diagnosed hydronephrosis

Clinical Radiology
R J OwenJ Brookes

Abstract

The prime objective of this study was to assess the benefits and practicalities of an investigation protocol to identify, follow-up and investigate fetal uropathies in a manner to maximize efficiency. Over a one-year-period, antenatal ultrasound examinations were performed on 4268 consecutive pregnancies. Eighty fetuses had renal tract dilatation; these were followed up postnatally according to the protocol; 17 had significant structural abnormalities requiring further follow-up. Hospital attendances were estimated to have been reduced by approximately 66% through the use of the protocol. The protocol for investigation and management of these patients is presented. The system implemented worked very smoothly and the subsequent findings and implications are discussed.

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Citations

Feb 19, 2008·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Meeta Mallik, Alan R Watson
Feb 19, 2002·BJU International·M Woodward, D Frank
May 18, 1999·Archives of Disease in Childhood. Fetal and Neonatal Edition·M S JaswonH Morgan
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Oct 19, 2010·Journal of Pediatric Urology·Carlo C PasserottiHiep T Nguyen
Apr 20, 2010·Journal of Pediatric Urology·Hiep T NguyenJeffrey B Campbell
Jan 9, 2007·Clinical Radiology·K A Duncan
Jan 14, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Evrim Kargin CakiciMehmet Bulbul
Jun 27, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Amar I Al-ShibliMaha Khalid Al-Bassam
Nov 5, 1997·Pediatric Clinics of North America·J S Elder

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