Related Experiment Videos
Antenatal hydronephrosis: trends and management
1The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Urologic Nursing
|July 30, 2005
Summary
Hydronephrosis, or kidney swelling, is increasingly detected prenatally. This review clarifies management, imaging, and treatment for antenatal hydronephrosis, aiding healthcare providers and families in postnatal care decisions.
Area of Science:
- Pediatric Urology
- Fetal Medicine
- Diagnostic Imaging
Background:
- Hydronephrosis is kidney collecting system dilation.
- Prenatal ultrasound detection of fetal abnormalities has risen significantly.
- Management of antenatal hydronephrosis presents challenges for providers and families regarding referral and postnatal screening.
Purpose of the Study:
- To review current management and treatment options for antenatal hydronephrosis.
- To clarify the appropriateness of pediatric urologist referral.
- To guide decisions on the necessity of postnatal screening.
Main Methods:
- Review of pre and postnatal management strategies.
- Analysis of radiologic findings in fetal hydronephrosis.
- Discussion of available treatment options.
- Presentation of three illustrative case scenarios.
Main Results:
- Prenatal ultrasound improves detection rates for fetal abnormalities.
- A wide spectrum of management and treatment options exist.
- Case scenarios highlight clinical decision-making points.
Conclusions:
- Clear guidelines are needed for managing antenatal hydronephrosis.
- Appropriate referral and timely postnatal screening are crucial.
- Informed decision-making supports optimal outcomes for affected infants.