Related Experiment Videos
Fetal hydronephrosis, a one year follow up
1Faculty of Medicine, Colombo.
The Ceylon Medical Journal
|December 1, 1996
Summary
Most cases of fetal hydronephrosis are benign and resolve on their own. Vesico-ureteric reflux is the most common urological abnormality found in these infants.
Area of Science:
- Pediatric Urology
- Fetal Medicine
- Neonatal Care
Background:
- Antenatal diagnosis of hydronephrosis is common.
- Understanding underlying causes and outcomes is crucial for management.
Purpose of the Study:
- To identify urological anomalies in infants with antenatally diagnosed hydronephrosis.
- To evaluate the outcomes during the first year of life.
Main Methods:
- Prospective descriptive study conducted from January 1991 to December 1992.
- 69 infants with persistent postnatal hydronephrosis were assessed.
- Renal function, well-being, and complications were monitored for one year.
Main Results:
- Transient hydronephrosis was observed in 52.3% of cases.
- Vesico-ureteric reflux was the most frequent urological abnormality (7.6%).
- 6% of infants required surgery, and 9% needed antibiotic prophylaxis within the first year.
Conclusions:
- The majority of fetal hydronephroses are self-limiting.
- Vesico-ureteric reflux is the most common urological abnormality.
- 33% of apparently normal neonates required significant management or monitoring.