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[Prenatal hydronephrosis: incidence, management and final diagnoses in 2003]
María E May Llanas1, A Moreira Echeverría, C V García Boente
1Servicio de Pediatría, Hospital Sant Joan de Déu, Martorell, Barcelona, Spain. emayl@vodafone.es
Anales De Pediatria (Barcelona, Spain : 2003)
|December 3, 2004
Summary
Most cases of fetal pyelectasis resolve spontaneously within the first year of life, reducing the need for invasive postnatal investigations. Close monitoring is key to preventing urinary tract infections.
Area of Science:
- Pediatric Nephrology
- Fetal Medicine
- Diagnostic Imaging
Context:
- Prenatal diagnosis of renal pyelectasis is common.
- Postnatal evaluation is crucial for management decisions.
- Understanding incidence and outcomes is important for clinical practice.
Purpose:
- Determine the incidence of fetal pyelectasis.
- Review the postnatal management protocol.
- Analyze definitive diagnoses for prenatal pyelectasis.
Summary:
- A retrospective review of 21 newborns with prenatal pyelectasis was conducted.
- Postnatal ultrasound, cystography, and renography were utilized.
- Definitive diagnoses included resolution, renal dilatation, and rare anomalies; no urinary tract infections were observed.
Impact:
- The incidence of prenatal pyelectasis is 2% in this environment.
- Most cases resolve spontaneously, often negating the need for invasive procedures.
- Adequate monitoring can prevent complications like urinary tract infections.