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Diagnosis and treatment of antenatal uropathies
Author(s) -
GRUENEWALD S. M.,
COHEN R. C.,
ANTICO V. F.,
FARLOW D C.,
CASS D. T.
Publication year - 1990
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1990.tb02411.x
Subject(s) - medicine , pediatrics
Thirty‐five patients with significant fetal hydronephrosis detected on antenatal ultrasound had postnatal investigations which included ultrasound, 99m technetium diethylenetriamine pentacetic acid ( 99m TcDTPA) renal scans and micturating cysto‐urethrograms. Antenatal and postnatal ultrasound were unable to determine reliably the level of obstruction causing the hydronephrosis. The 99m TcDTPA renal scan was useful in determining the necessity and timing of surgery, but could not exclude vesico‐ureteric reflux. Seven patients required surgery in the neonatal period and a further seven children had surgery because of deterioration of the scan appearance on follow‐up studies performed at 3, 6 and 12 months of age and then at longer time intervals. Twenty patients (almost 60%) have been managed conservatively for a mean of 28 months (range: 12 months‐7 years) with no deterioration in renal function.