Mild fetal hydronephrosis indicating vesicoureteric reflux

Marra, Giuseppina; Barbieri, G; Moioli, C; Assael, B.M.; Grumieri, Gianpaolo; Caccamo, M. L.

doi:10.1007/bf00858972

Cited by 25 publications

(34 citation statements)

References 13 publications

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“…We performed VCUG only in patients who had UTI, and none of the patients with bilateral and only two of the patients with unilateral hydronephrosis had VUR. The prevalence of VUR in NBs with antenatal hydronephrosis is around 15-30% [28][29][30], but the prevalence decreases when a selective group is considered. Mami et al reported a prevalence of VUR grade I-III of 1.8% in infants with isolated persistent hydronephrosis up to 15 mm without analyzing if they had bilateral or unilateral hydronephrosis [11].…”

Section: Discussionmentioning

confidence: 98%

Natural history of bilateral mild isolated antenatal hydronephrosis conservatively managed

Alconcher¹,

Tombesi²

2012

Pediatr Nephrol

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Section: Discussionmentioning

confidence: 98%

Natural history of bilateral mild isolated antenatal hydronephrosis conservatively managed

Alconcher¹,

Tombesi²

2012

Pediatr Nephrol

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“…Several authors have recently demonstrated that gross [14,19,22]. However, conservative management has also shown resolution of even severe grades of re¯ux over the ®rst 2 years of life [3,5].…”

Section: Discussionmentioning

confidence: 97%

Antenatally detected urinary tract abnormalities: changing incidence and management

James

Watson

Twining

et al. 1998

European Journal of Pediatrics

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“…All patients underwent a voiding cystourethrogram and refl ux was identifi ed in 30%. 11 To avoid subjecting large numbers of healthy infants to an invasive investigation, a more selective approach has been suggested, based on ureteric dilatation demonstrated on ultrasonography, either prenatally or postnatally; thick walled bladder or other evidence of outfl ow obstruction; or caliceal dilatation.…”

Section: Discussionmentioning

confidence: 99%

Voiding cystourethrogram in the diagnosis of vesicoureteric reflux in children with antenatally diagnosed hydronephrosis

Nerli

Amarkhed²,

Ravish³

2008

TCRM

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Prenatal ultrasonography has revolutionized the detection and management of many urological abnormalities. Vesicoureteric refl ux (VUR) which develops in 10% to 15% of cases of prenatal hydronephrosis, is diffi cult to predict prenatally. While all children with prenatal hydronephrosis should undergo ultrasonography within the fi rst few weeks of life, there seems to be controversy regarding the role of voiding cystourethrogram (VCUG) in the assessment of these children. Materials and methods:Neonates with antenatally diagnosed unilateral hydronephrosis were prospectively assessed with sonography on day 3-7, and VCUG and isotope imaging at three months. Results: Seven (16.6%) children of the 42 children with Society of Fetal Urology grade 0/I/II hydronephrosis on postnatal sonography had evidence of VUR on VCUG. 44.4% of the refl uxing ureters identifi ed involved high grade disease and two (28.5%) children required reimplantation. Conclusions: Children with fetal refl ux may be diagnosed prior to urinary tract infection and in whom further renal injury may be prevented. VCUG when performed properly is safe and presents with little risk of infectious and noninfectious complications. VCUG should be done in children in whom hydronephrosis is detected prenatally to restrict the use of VCUG to diagnose VUR. Two patients had infection.

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Mild fetal hydronephrosis indicating vesicoureteric reflux

Cited by 25 publications

References 13 publications

Natural history of bilateral mild isolated antenatal hydronephrosis conservatively managed

Natural history of bilateral mild isolated antenatal hydronephrosis conservatively managed

Antenatally detected urinary tract abnormalities: changing incidence and management

Voiding cystourethrogram in the diagnosis of vesicoureteric reflux in children with antenatally diagnosed hydronephrosis

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