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[The prenatal diagnosis of obstructive uropathy and its course in the postnatal period]

D A Seĭmivskiĭ, V F Peterburgskiĭ, I Iu Gordienko

    Klinicheskaia Khirurgiia
    |January 1, 1991
    PubMed

    Insights

    Fetal urinary system anomalies, including obstructive uropathy and cystic kidney disease, were investigated. Postnatal examinations revealed that obstructive uropathy often requires surgical intervention due to progressive changes.

    Area of Science:

    • Pediatric Urology
    • Fetal Medicine
    • Neonatal Surgery

    Background:

    • Congenital anomalies of the urinary system are a significant concern in fetal development.
    • Early detection and characterization of these anomalies are crucial for timely intervention.

    Purpose of the Study:

    • To present the findings of ultrasound investigations in fetuses with urinary system anomalies.
    • To correlate prenatal findings with postnatal outcomes in affected children.

    Main Methods:

    • Ultrasound examination of 24 pregnant women (22-39 weeks gestation) with diagnosed fetal urinary anomalies.
    • Complex postnatal examination of 24 infants (10 days to 12 months old).

    Main Results:

    • Obstructive uropathy was identified in 62.5% of fetuses.
    • Cystic anomalies of the kidneys were observed in 37.5% of fetuses.
    • Postnatally, obstructive uropathy showed progressive changes necessitating surgery or stable dilation managed conservatively.

    Conclusions:

    • Prenatal ultrasound is effective in diagnosing fetal urinary system anomalies.
    • Obstructive uropathy often requires surgical correction, while cystic anomalies may be managed differently based on postnatal assessment.

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