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[Diagnosis of fetal urinary tract deformity and its early surgical treatment]
Insights
This study identified 12 fetal urinary tract anomalies in 419 ultrasounds. Early surgical intervention for conditions like hydronephrosis is crucial for infant development.
Area of Science:
- Pediatric Surgery
- Fetal Medicine
- Urology
Background:
- Prenatal diagnosis of congenital anomalies is critical.
- Urinary tract anomalies are a significant concern in fetal development.
Purpose of the Study:
- To report on the incidence and types of fetal urinary tract anomalies detected via ultrasound.
- To evaluate the outcomes and indications for early surgical management.
Main Methods:
- Ultrasound scans were performed on 419 fetuses between 24-42 weeks gestation.
- Postnatal confirmation and surgical interventions were documented.
Main Results:
- Twelve cases of fetal urinary tract anomalies were diagnosed, including hydronephrosis, nephrocystosis, and megaureter.
- Eight infants underwent surgery, with the earliest at nine days old.
Conclusions:
- Early surgical management based on specific indications improves outcomes for infants with congenital urinary tract anomalies.
- Timely intervention is vital for the healthy development of affected infants.
Abstract:
From July 1987 to August 1989, ultrasound scan was performed in 419 cases of 24-42-week gestation. The result of antepartum diagnosis showed 12 cases of anomaly (7 males and 5 females). After birth, they were all confirmed by pediatric surgery. Seven infants had hydronephrosis (either bilateral or unilateral), two had nephrocystosis (either unilateral or multiple), two had megaureter, one had megabladder, one had single kidney associated with chronic disease, and eight were operated on. The lowest operative age was nine days, and the average age was 72 days. It shows that The operative indications were: (1) increased excretory rate of RBC and WBC; (2) functional damage of tube of kidney; (3) decreased serum albumin and metabolic acidosis; (4) bacteriuria and pyouria; (5) absence of general complications (6) pyelocalicectasis was at least three times that of the healthy side; (7) obstruction of the low urinary tract and or bladder-rectum fistula. Early surgical management is important for eugenic development of the infants.