Fetal pyelectasis: Is it always “physiologic”?

Fetal renal pelvic dilatation?poor predictor of familial vesicoureteral reflux

“…Adra et al [24] reported that fetal renal dilatation of 8 mm after 28 weeks gestation had a sensitivity of 87% and specificity of 41% for VUR. However, this retrospective study only included children with fetal renal dilatation.…”

The predictive value of the first postnatal ultrasound in children with antenatal hydronephrosis

“…For some practitioners, mild VUR and some cases of UPJO are considered [9] 1989e1993 Not Stated Selectively Selectively Aksu N et al [10] 1998e2003 Not Reported Yes Selectively Brogan PA et al [11] 1997e1999 Not Reported Yes Selectively Brophy MM et al [12] 1992e1998 1e4 weeks Selectively Selectively Clautice-Engle T et al [13] 1989e1993 6 days Yes IVP only, selectively Dejter SW, Jr. et al [14] 1984 2e3 days Yes DTPA in all Devaussuzenet V et al [15] 1993e1995 2e7 days Yes Selectively Docimo SG et al [16] 1990e1995 <2 days Yes Selectively Dremsek PA et al [17] 1992e1993 4e7 days Selectively Selectively Dudley JA et al [18] 1990e1994 1 week yes selectively Fasolato V et al [19] 1994 5 days Selectively DMSA only, selectively Gloor JM et al [20] 1996e1998 7.7 days Yes Selectively Gruenewald SM et al [21] 1981e1988 Not Reported Yes DTPA in all, IVP selectively Hafez AT et al [22] 1996e1998 1 week Yes DTPA in all Ismaili K et al [23] 1998e2000 Not Reported Yes Selectively Ismaili K et al [24] 1998e2000 Not Reported Yes Selectively Jaswon MS et al [25] 1994e1996 Not Reported Yes Selectively Johnson CE et al [26] 1985e1988 2 days Yes Selectively Josephson S et al [27] 1982e1990 1 week Yes Selectively Langer B et al [28] 1989e1991 1 month Yes Selectively Lim DJ et al [29] 1990e2001 1e4 days Selectively Selectively Livera LN et al [30] 1986e1987 Not Reported Yes Selectively Marra G et al [31] 1989e1991 <1 week Yes Selectively Moon DH et al [32] 1996e2000 2 days Yes MAG-3 in all Owen RJ et al [33] 1994 <1 week Yes Selectively Persutte WH et al [34] 1992e1995 <1 month Yes MAG-3 and DTPA in all, IVP selectively Phan V et al [35] Not Reported 19.6 days Yes Selectively Sairam S et al [2] 1994e1998 <1 week Yes Selectively Signorelli M et al [36] 1990e2001 Not Reported Selectively Selectively Wollenberg A et al [37] 1995e2000 Not Reported Yes DMSA in all *The presence o...…”

The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis

“…APD (mm) (gestational age at diagnosis) Resolution 3rd trimester After birth Livera (1989) [148] >10 (at 28 wks) 54% Corteville (1991) [153] >4 (<33 wks) 29% 31% >7 (>33 wks) Mandell (1991) [154] >5 (<20 wks) 21% 55% >8 (>20 wks) Adra (1995) [155] >4 (<33 wks) 31% 36% >7 (>33 wks) Podevin (1996) [156] >4 (<24 wks) 56% 43% >8 (>32 wks) Morin (1996) [145] >4 (<20 wks) 45% 27% >10 (>24 wks) Stocks (1996) [157] >4 (<33 wks) 30% >7 (>33 wks) Persutte (1997) [144] 4e10 (>28 wks) 6% 34% Dudley (1997) [158] >5 (14e18 wks) 36% Jawson (1999) [84] > 5 (16e26 wks) 55% Chudleigh (2001) [159] > 5 (16e26 wks) 56% Sairam (2001) [49] >4 (<23 wks) 67% 64% >10 (>28 wks) Feldman et al (2001) [24] >4 (<20 wks) 47% >7 (>30 wks) Signorelli et al (2005) [25] 4e10 (>28 wks) 18% 56% noted that renal US protocols vary widely amongst different centers, which may impact grading and the requirement for additional imaging. For example, at some institutions, the radiologists require the patient to be nil per os for 4 h prior to the image.…”