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Urologic problems of the neonate
Hrair-George O Mesrobian1, Anthony H Balcom, Charles T Durkee
1Department of Urology, Division of Pediatric Urology, Medical College of Wisconsin, Children's Hospital of Wisconsin, 9000 W. Wisconsin Avenue, Children's Hospital Office Building, Suite 606, Milwaukee, WI 53226, USA. hmesrobi@mcw.edu
Pediatric Clinics of North America
|July 28, 2004
Summary
Prenatal sonography detects common genitourinary anomalies, impacting neonatal urologic care. This review guides management of these fetal conditions and related neonatal urologic problems.
Area of Science:
- Pediatric Urology
- Prenatal Diagnosis
- Neonatal Care
Background:
- Maternal sonography is routine in prenatal care, detecting numerous fetal anomalies.
- Genitourinary anomalies are the most common fetal anomalies identified.
- Prenatal detection significantly influences the presentation and natural history of neonatal urologic issues.
Purpose of the Study:
- To address clinical questions arising from prenatally detected anomalies.
- To discuss the evaluation and management of specific fetal urologic anomalies.
- To provide guidance on controversies and optimal referral timing for tertiary care.
Main Methods:
- Review of clinical questions related to prenatally detected anomalies.
- Discussion of specific anomalies including renal anomalies, tumors, exstrophy complex, and ambiguous genitalia.
- Consideration of urologic syndromes and their management.
Main Results:
- Prenatal diagnosis of genitourinary anomalies is common.
- Management strategies are influenced by prenatal findings.
- Specific anomalies discussed include posterior urethral valves, scrotal anomalies, and spina bifida.
Conclusions:
- Prenatal sonography plays a crucial role in identifying fetal genitourinary anomalies.
- Effective management of neonatal urologic problems relies on understanding prenatal findings.
- This article serves as a guide for clinicians managing these complex cases.