The long-term outcome of antenatal hydronephrosis up to 15 millimetres justifies a noninvasive postnatal follow-up

Acta Paediatrica
E H M de KortS H J Zegers

Abstract

To assess the incidence of urinary tract infections (UTIs) and surgery in infants with different grades of antenatal hydronephrosis (ANH) and to evaluate incidence, severity and course of underlying vesicoureteral reflux (VUR). Retrospective data of 125 infants with ANH were collected. The patients were divided into two groups according to the anterior-posterior pelvis diameter: group I, 5-14 mm and group II, > or =15 mm. UTIs developed in 4 of 106 infants from group I and 5 of 19 infants from group II. Surgical interventions were performed on 1 of 106 patients of group I and 7 of 19 patients of group II. These differences were statistically significant (p-values 0.004 and <0.001, respectively). In group I, 6 of 106 patients had VUR; none of them required surgical intervention and only two developed a UTI (one of whom also had contralateral ureteropelvic junction obstruction). Five of 19 infants in group II had underlying VUR, four of them with associated anomalies, 1 infant required surgical correction and 4 developed UTIs. Infants with ANH up to 15 mm have a low incidence of UTIs and surgery and a low incidence and benign course of underlying VUR. Therefore, noninvasive postnatal follow-up is justified and standard voiding cy...Continue Reading

References

Aug 1, 1991·American Journal of Obstetrics and Gynecology·J E CortevilleJ P Crane
Oct 1, 1995·American Journal of Obstetrics and Gynecology·A M AdraS N Beydoun
Jan 1, 1997·Archives of Disease in Childhood. Fetal and Neonatal Edition·J A DudleyE J Tizard
Sep 22, 1998·Archives of Pediatrics & Adolescent Medicine·M WennerströmE Stokland
May 18, 1999·Archives of Disease in Childhood. Fetal and Neonatal Edition·M S JaswonH Morgan
May 3, 2000·BJU International·A A Shokeir, R J Nijman
Mar 17, 2001·BJU International·J E Scott, M Renwick
Jan 17, 2002·The Journal of Urology·Minu Bajpai, V V S S Chandrasekharam
Feb 19, 2002·BJU International·M Woodward, D Frank
Jul 9, 2004·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Khalid IsmailiMichelle Hall
Apr 5, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A BhideB Thilaganathan
Jul 19, 2005·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Nejat AksuTahir G Sandikçioğlu
Oct 22, 2005·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·R Beetz
Dec 20, 2005·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Gagan SidhuNorman D Rosenblum
May 24, 2006·Pediatric Clinics of North America·Sergio Fefer, Pamela Ellsworth
Jun 15, 2006·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Jose Maria Penido SilvaEduardo Araujo Oliveira

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Citations

Jul 8, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Carmelo MamìRosa Manganaro
Oct 27, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Jan HálekVladimír Janout
Jun 18, 2010·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Carmelo MamìFrancesco Arena
Feb 18, 2011·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Susan E Ingraham, Kirk M McHugh
Feb 22, 2012·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Laura Fernanda Alconcher, Maria Marcela Tombesi
Mar 12, 2013·Indian Pediatrics·Aditi SinhaUNKNOWN Indian Society of Pediatric Nephrology
Aug 11, 2009·Current Opinion in Pediatrics·Amy M Becker
May 30, 2013·Indian Journal of Nephrology·A SinhaI Agarwal
Oct 14, 2009·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Hans RandbyOle Jørgen Moe
Jul 30, 2011·Journal of Pediatric Urology·María Marcela Tombesi, Laura Fernanda Alconcher
Apr 18, 2012·Renal Failure·Filiz GökaslanZ Birsin Özçakar
Aug 18, 2020·Advances in Urology·Anthony J SchaefferRachel Hess
Nov 7, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Lei ZhangXiang Li
Oct 8, 2020·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Aniruddh V Deshpande
Mar 25, 2009·Current Opinion in Pediatrics
Dec 19, 2012·Pediatrics·Luis H BragaArmando J Lorenzo

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