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[Sonographic screening of upper urinary tract obstruction and approach to its treatment]
I Plenta1, T Fajcíková, J Strauss
1Detské oddelenie NsP, Nitra.
Insights
Neonatal sonographic screening of the uropoietic tract (UPT) detects congenital abnormalities early. This allows timely treatment to prevent irreversible kidney damage.
Area of Science:
- Pediatric Radiology
- Neonatal Screening
- Urology
Background:
- Congenital uropoietic tract (UPT) disorders require early detection for effective management.
- Sonography is a non-invasive tool for evaluating neonatal anatomy.
- Screening neonates can identify developmental defects before significant complications arise.
Purpose of the Study:
- To evaluate the efficacy of sonographic screening for congenital uropoietic tract (UPT) disorders in neonates.
- To determine the incidence of UPT abnormalities in a neonatal population.
- To assess the types and prevalence of detected UPT anomalies.
Main Methods:
- Sonographic examination of the uropoietic tract (UPT) was performed on all neonates as part of a screening program.
- A cohort of 2,103 neonates was evaluated over a one-year period.
- Abnormal findings were categorized and further investigated.
Main Results:
- Out of 2,103 neonates, 89 (4.2%) showed abnormalities in their uropoietic tract (UPT).
- Marginal dilatation of the hollow space was the most common finding (57 neonates).
- Dilated hollow systems were observed in 24 neonates, with 8 exhibiting other anomalies.
Conclusions:
- Sonographic screening of the neonatal uropoietic tract (UPT) is effective in detecting congenital disorders.
- Early identification of UPT anomalies facilitates timely intervention.
- Further investigation and management are crucial to prevent renal parenchyma damage.
Abstract:
Sonographic examination of the uropoietic tract (UPT) in neonates makes it possible to detect in time inborn disorders, in particular of the excretory pathways and to provide treatment before irreversible changes develop. The authors subject within the framework of screening of inborn developmental defects all neonates to sonographic examination of the UPT. In the submitted paper they evaluate a group of 2,103 children in the course of a one-year period; 89 neonates had changes as compared with normal findings. The largest group is formed (by as many as 57) by marginal dilatation of the hollow space. A dilated hollow system was recorded in 24 neonates and eight had different types of anomalies. By further comprehensive investigation conservative or surgical procedure is indicated to prevent further, possibly irreversible damage of the renal parenchyma.