TITLE

Neonatal Hydronephrosis With Review of Initial Ultrasound Imaging and Follow-Up Protocols

AUTHOR(S)
Elsayed, Naglaa Mostafa; Elkhatib, Yasser Atta
PUB. DATE
July 2014
SOURCE
Australian Journal of Basic & Applied Sciences;Jul2014, Vol. 8 Issue 10, p475
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Antenatal hydronephrosis is a common problem found in clinical practice. Postnatal outcome depends on the degree of renal pelvis dilatation. Ultrasound grading system can help in proper management of those cases and decrease patients' morbidity. Objective: Was to define the role of postnatal US in cases of antenatal hydronephrosis, and to settle a protocol for follow up. Results: 18.8% of kidneys had hydronephrosis. Hydronephrosis was mostly mild (68.8%), bilateral (65.6%) , left sided, with the male to female ratio = 2:1. First US follow up showed improvement in 42.2%. Second US follow up was normal in 54.4% .Only 26 renal unites presented for third follow up. Conclusion: investigation of mild/moderate hydronephrosis is better delayed 5-10 days while severe hydronephrosis requires immediate imaging. In prenatal dilatation and postnatal normal renal pelvis, one control scan during the fourth week of life is enough. Uncomplicated hydronephrosis can be serially monitored with US at 6, 12 monthly intervals until resolution is documented.
ACCESSION #
97368515

 

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