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Urinary tract masses.

D L Farmer1

  • 1Department of Surgery, The Fetal Treatment Center, University of California, San Francisco 94143-0570, USA.

Seminars in Pediatric Surgery
|August 19, 2000
PubMed
Summary
This summary is machine-generated.

Urinary tract disorders are common causes of infant abdominal masses, particularly hydronephrotic and multicystic kidneys in neonates. This review covers causes, diagnosis, and treatment of fetal and neonatal urinary tract masses.

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Area of Science:

  • Pediatric Urology
  • Neonatal Imaging
  • Abdominal Masses in Infants

Background:

  • Urinary tract disorders are the primary cause of abdominal masses in infants.
  • Hydronephrotic and multicystic kidneys are the most frequent causes of flank masses in neonates.
  • Prenatal ultrasound increasingly diagnoses hydronephrosis, necessitating further natural history studies.

Purpose of the Study:

  • To review common anatomic and functional causes of fetal and neonatal hydronephrosis.
  • To discuss the diagnosis and management of solid and cystic urinary tract masses in neonates.

Main Methods:

  • Literature review of pediatric urology and radiology studies.
  • Analysis of diagnostic modalities for fetal and neonatal urinary tract abnormalities.

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  • Synthesis of current treatment strategies for neonatal abdominal masses.

    • Main Results:

    • Common causes of neonatal hydronephrosis include ureteropelvic junction obstruction and posterior urethral valves.
    • Multicystic dysplastic kidney is a significant differential diagnosis for flank masses.
    • Prenatal diagnosis allows for early intervention and improved outcomes.

    Conclusions:

    • Early diagnosis and management of fetal and neonatal hydronephrosis are crucial.
    • A comprehensive understanding of urinary tract masses aids in appropriate clinical decision-making.
    • Continued research is needed to further elucidate the natural history of these conditions.