Background: Antenatal hydronephrosis (AH) is a common finding in prenatal assessment. We assessed and compared society of fetal urology ( SFU) ,anteroposterior pelvic diameter ( APD) and, urinary tract dilation ( UTD) classification criteria in predicting prognosis . Material and methods: We retrospectively analyzed neonates with a history of antenal hydronephrosis.We analyzed relation between each of three classification ways with etiologic diagnosis and prognosis of AH. Prognosis was classified as four grades, from transient hydronephrosis ( Grade 1) Grade 4 as severe kidney involvemevt or any need to surgery. Results : We enroled 290 neonates with a mean age of 16.4 ±9.0 days, 33% were female , One third had severe VUR , severe obstruction observed in 19 (22%) patients, 40% had transient hydronephrosis, 26 (9%) need to surgery. Only antenatal SFU grading showed significant relation with severe obstruction and only Postnatal SFU grading was related to severity of VUR. The highest sensitivity was ; prenatal SFU-1 (100%) , postnatal SFU-1 (98%) for VUR presence ; prenatal and postnatal SFU-1 (100%) for surgery. The highest specificity was ; prenatal SFU-4 (96%) , postnatal UTD-P3 (73%) for VUR presence; prenatal SFU-4(99%) and postnatal SFU-4 (94%) for surgery . Conclusion: There are no reliable prenatal sonographic finding to predict VUR or severe UPJO , SFU grading in postnatal period can predict VUR with a low sensitivity and specificity. All three classification systems have good ability to evaluate prognostic items such as need to surgery.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.