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Diagnostic sonography of the fetal genitourinary tract

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Abstract

Fetal diagnosis has vastly improved over the last decade. Ultrasound has become the imaging modality of choice. As real-time equipment has improved technologically, the ability to deduce subtle abnormalities has greatly increased.

The fetal genitourinary tract may be evaluated for renal dysplasias, anomalies, or obstruction. Points of obstruction and, at times, the exact cause of obstruction may be deduced. Abnormalities of the ureter, bladder, urethra, scrotum, or reproductive system can be detected.

Early diagnosis allows for proper individual or family counseling for hereditable disorders and chromosomal abnormalities. The perinatology team can be alerted to an abnormality that may require early neonatal surgical or medical intervention. Early treatment can prevent significant deterioration of renal function. The possibilities of prenatal intervention may be considered.

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References

  1. 1.

    Chervenak FA, Isaacson G, Mahoney MJ: Current concepts: advances in the diagnosis of fetal defects.N Engl J Med 315:305–307, 1986

  2. 2.

    Jeanty P, Romero R, Staudach A, Hobbins JC: Facial anatomy of the fetus.J Ultrasound Med 5:607–616, 1986

  3. 3.

    Seeds JW: Antenatal sonographic assessment of the genitourinary tract. In Sanders RC, Hill M (eds):Ultrasound Annual 1986. New York: Raven Press, 1986, pp 67–97

  4. 4.

    Bowie J, Rosenberg E, Andreotti R, Fields S: The changing sonographic appearance of fetal kidneys during pregnancy.J Ultrasound Med 2:505–507, 1983

  5. 5.

    Hadlock F, Deter R, Carpenter R, Gonzalez E, Park S: Review: sonography of fetal urinary tract abnormalities.AJR 137:261–267, 1981

  6. 6.

    Barth RA, Mindell H: Renal masses in the fetus and neonate: ultrasonographic diagnosis.Semin Ultrasound CT MR 5:3–18, 1984

  7. 7.

    Mahony BS, Filly RA: The genitourinary system in utero. In Hricak H (ed):Clinics in Diagnostic Ultrasound (18) Genitourinary Ultrasound. New York: Churchill Livingstone, 1986, pp 1–21

  8. 8.

    Grannum P, Bracken M, Silverman R, Hobbins J: Assessment of fetal kidney size in normal gestation by comparison of ratio of kidney circumference to abdominal circumference.Am J Obstet Gynecol 136:249–254, 1980

  9. 9.

    Bertagnoli L, Lalata F, Gallicchio R, Fantuzzi M, Rusca M, Zorzoli A, Deter R: Quantitative characterization of the growth of the fetal kidney,J Clin Ultrasound 11:349–356, 1983

  10. 10.

    Hadlock F, Deter R, Carpenter R: Sonography of the fetal genitourinary tract.Semin Ultrasound CT MR 5:213–228, 1984

  11. 11.

    Lyons EA, Levi CS, Greenberg CR: The abnormal fetus.Semin Roentgenol 17:198–209, 1982

  12. 12.

    Campbell S, Wladimoroff J, Dewhurst C: The antenatal measurement of urine production.J Obstet Gynaecol Br Commonw 80:680–686, 1973

  13. 13.

    Rosenberg ER, Bowie JD: Failure of furosemide to induce diuresis in a growth retarded fetus.AJR 142:485–486, 1984

  14. 14.

    Elejalde B, deElejalde M, Heitman T: Visualization of the fetal genitalia by ultrasonography: a review of the literature and analysis of its accuracy and ethical implications.J Ultrasound Med 4:633–639, 1985

  15. 15.

    Stephens J, Sherman S: Letter to the editor. Determination of fetal sex by ultrasound.N Engl J Med 309:984, 1983

  16. 16.

    Birnholz J: Determination of fetal sex.N Engl J Med 309:942–944, 1983

  17. 17.

    Hill L, Breckle R, Gehrking W: The prenatal detection of congenital malformations by ultrasonography.Mayo Clin Proc 5:805–826, 1983

  18. 18.

    Helin I, Persson P: Prenatal diagnosis of urinary tract abnormalities by ultrasound.Pediatrics 78:879–883, 1986

  19. 19.

    Witten D, Myers G Jr, Utz D: Anomalies of the genitourinary tract. In Witten D, Myers G Jr, Utz D. (eds):Emmet’s Clinical Urography. Philadelphia: W.B. Saunders, 1977, p 565

  20. 20.

    Graham D, Sanders R: Amniotic fluid.Semin Roentgenol 17:210–218, 1982

  21. 21.

    Moore P, Mencini R, Spitz H: Sonographic diagnosis of hydramnios and oligohydramnios.Semin Ultrasound CT MR 5:157–169, 1984

  22. 22.

    Seeds A: Current concepts of amniotic fluid dynamics.Am J Obstet Gynecol 138:575–586, 1980

  23. 23.

    Chinn D, Filly R: Ultrasound diagnosis of fetal genitourinary tract anomalies.Urol Radiol 4:115–123, 1982

  24. 24.

    Salzman L, Kuligowska E, Semine A: Pseudoomphalocele: pitfall in fetal sonography.AJR 146:1283–1285, 1986

  25. 25.

    Freling E, Kawada C, Blake G: Elevated maternal serum alphafetoprotein associated with Potter’s syndrome.Am J Obstet Gynecol 146:218–219, 1983

  26. 26.

    Sabbagha R, Tamura R: (Obstetrical ultrasound) Routine use. In McGahan JP (ed):Clinics in Diagnostic Ultrasound (20) Controversies in Ultrasound. New York: Churchill Livingstone, 1987, pp 116–117

  27. 27.

    Dubbins P, Kurt A, Wapner R, Goldberg B: Renal agenesis: spectrum of in utero findings.J Clin Ultrasound 9:189–193, 1981

  28. 28.

    Wladimiroff J: Effect of furosemide on fetal urine production.Br J Obstet Gynaecol 82:221–224, 1975

  29. 29.

    Thomas I, Smith D: Oligohydramnios, cause of the nonrenal features of Potter’s syndrome including pulmonary hypoplasia.J Pediatr 84:811–816, 1974

  30. 30.

    Potter E: Bilateral absence of ureters and kidneys.Obstet Gynecol 25:3–12, 1965

  31. 31.

    Hoddick W, Filly R, Mahony B, Callen P: Minimal fetal renal pyelectasis.J Ultrasound Med 4:85–89, 1985

  32. 32.

    Grignon A, Filion R, Filiatrault D, Robitaille P, Homsy Y, Boutin H, Leblond R: Urinary tract dilatation in utero classification and clinical applications.Radiology 160:645–647, 1986

  33. 33.

    Philipson E, Wolfson R, Kedia K: Fetal hydronephrosis and polyhydramnios associated with vesico-ureteral reflux.J Clin Ultrasound 12:585–587, 1984

  34. 34.

    Reuter K, Lebowitz R: Massive vesicoureteral reflux mimicking posterior urethral valves in a fetus.J Clin Ultrasound 13:584–587, 1985

  35. 35.

    Lirette M, Filly R: Relationship of fetal hydronephrosis to spinal dysraphism.J Ultrasound Med 2:495–497, 1983

  36. 36.

    Mayor G, Genton N, Torado A, Guignard J: Renal function in obstructive nephropathy: long term effects of reconstructive surgery.Pediatrics 56:740–743, 1975

  37. 37.

    Grignon A, Filiatrault D, Homsy Y, Robitaille P, Filion R, Boutin H, Leblond R: Ureteropelvic junction stenosis: antenatal ultrasonographic diagnosis, postnatal investigation and follow-up.Radiology 160:649–651, 1986

  38. 38.

    Nussbaum A, Dorst J, Jeffs R, Gearhart J, Sanders R: Ectopic ureterocele: their varied sonographic manifestations.Radiology 159:227–235, 1986

  39. 39.

    Lebowitz R, Griscomb N: Neonatal hydronephrosis—146 cases.Radiol Clin North Am 15:49–59, 1977

  40. 40.

    Schoenecker S, Cyr D, Mack L, Schuman W, Lenke R: Sonographic diagnosis of bilateral fetal renal duplication with ectopic ureteroceles.J Ultrasound Med 4:617–618, 1985

  41. 41.

    Glazer G, Filly R, Callen P: The varied sonographic appearance of the urinary tract in the fetus and the newborn with urethral obstruction.Radiology 144:563–568, 1982

  42. 42.

    Woodard J: Prune belly syndrome. In Kelalis P, King R, Belman A (eds):Clinical Pediatric Urology 2nd ed. Philadelphia: W.B. Saunders, 1985, pp 805–823

  43. 43.

    Osthanondh V, Potter E: Pathogenesis of polycystic kidneys.Arch Pathol 77:459–512, 1964

  44. 44.

    Fong K, Rahmani M, Rose T, Skidmore M, Connor T: Fetal renal cystic disease: sonographic-pathologic correlation.AJR 146:767–773, 1986

  45. 45.

    Mahony B, Filly R, Callen P, Hricak H, Globus M, Harrison M: Fetal renal dysplasia: sonographic evaluation.Radiology 152:143–146, 1984

  46. 46.

    Habif D, Berdon W, Yeh MN: Infantile polycystic disease: in utero sonographic diagnosis.Radiology 142:475–477, 1982

  47. 47.

    Gruenewald S, Crocker E, Walker A, Trudinger B: Antenatal diagnosis of urinary tract abnormalities: correlation of ultrasound appearance with postnatal diagnosis.Am J Obstet Gynecol 148:278–283, 1984

  48. 48.

    Kleiner B, Filly R, Mack L, Callen P: Multicystic dysplastic kidney: observations of contralateral disease in the fetal population.Radiology 161:27–29, 1986

  49. 49.

    Hashimoto B, Filly R, Callen P: Multicystic dysplastic kidney in utero: changing appearance on US.Radiology 159:107–109, 1986

  50. 50.

    Main D, Mennuti M, Cornfeld D, Coleman B: Prenatal diagnosis of adult polycystic kidney disease.Lancet 2:337, 1983

  51. 51.

    Beck A: The effect of intrauterine urinary obstruction upon the development of the fetal kidney.J Urol 105:784–789, 1971

  52. 52.

    Walter J, McGahan J: Mesoblastic nephroma: prenatal sonographic detection.J Clin Ultrasound 13:686–689, 1985

  53. 53.

    Kenney P, Spirt B, Ellis D, Patil U: Scrotal masses caused by meconium peritonitis: prenatal sonographic diagnosis.Radiology 154:362, 1985

  54. 54.

    Meizner I, Katz M, Zmora E, Insler V: In utero diagnosis of congenital hydrocele.J Clin Ultrasound 11:449–451, 1983

  55. 55.

    Manning F, Harrison M, Rodeck C, Members of the International Fetal Medicine and Surgery Society: Catheter shunts for fetal hydronephrosis and hydrocephalus: report of the international fetal surgery registry.N Engl J Med 315:336–340, 1986

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Correspondence to Harris L. Cohen.

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Cohen, H.L., Haller, J.O. Diagnostic sonography of the fetal genitourinary tract. Urol Radiol 9, 88–98 (1988). https://doi.org/10.1007/BF02932640

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Key words

  • Fetus, genitourinary system
  • Fetus, US studies
  • Genitourinary, US studies
  • Genitourinary system, abnormalities