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Related Experiment Videos

Fetal vesicoureteric reflux.

A Najmaldin1, D M Burge, J D Atwell

  • 1Wessex Regional Centre for Paediatric Surgery, General Hospital, Southampton.

British Journal of Urology
|April 1, 1990
PubMed
Summary
This summary is machine-generated.

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Fetal vesicoureteric reflux (VUR) can occur without other urinary tract issues. Even with normal postnatal ultrasounds, fetal VUR may still be present, requiring further urological investigation.

Area of Science:

  • Pediatric Urology
  • Prenatal Diagnosis
  • Medical Imaging

Background:

  • Prenatal diagnosis of urinary tract anomalies is common.
  • Vesicoureteric reflux (VUR) is a significant anomaly.
  • Understanding fetal VUR presentation is crucial for management.

Purpose of the Study:

  • To analyze the characteristics of fetal vesicoureteric reflux (VUR).
  • To determine the association of fetal VUR with other urinary tract abnormalities.
  • To evaluate the diagnostic utility of ultrasound in detecting fetal VUR.

Main Methods:

  • Retrospective analysis of 107 patients with prenatally diagnosed urinary tract anomalies.
  • Focus on a cohort of 30 patients diagnosed with fetal VUR.
  • Review of pre- and postnatal ultrasound findings and micturating cystogram results.

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Main Results:

  • Fetal VUR was identified in 30 patients.
  • In 13 patients, VUR was the sole urinary tract abnormality.
  • In 17 patients, VUR co-occurred with other urinary tract problems.
  • 14 of 46 refluxing renal units showed no upper tract dilatation on ultrasound.

Conclusions:

  • Fetal VUR can be an isolated finding or associated with other anomalies.
  • Postnatal ultrasound may not reveal upper tract dilatation despite fetal VUR.
  • Infants with postnatal urinary tract dilatation require comprehensive urological assessment, including micturating cystography.