Advertisement

Prenatal Diagnosis of Hydronephrosis

  • Marc Cendron
Chapter
Part of the Current Clinical Urology book series (CCU)

Abstract

Prenatal evaluation of the fetus goes back at least 30 years. The first report of fetal urologic anomaly diagnosed by ultrasound was published by Garrett et al. in 1970 (1). The overall incidence of detectable fetal anomalies is approx 1%; the incidence of urologic anomalies detected in utero is 1 in 500, and 50% of these are some form of urinary tract dilatation (2). Because the use of prenatal ultrasound screening has increased, the number of fetuses with known or suspected urinary tract abnormalities has also increased markedly during the last 20 years. With the increasing number of fetuses being diagnosed with abnormalities of the urinary tract, management has become more complex. The diagnosis has an impact on the management of the pregnancy and has a significant effect on the emotional health of both parents.

Keywords

Amniotic Fluid Prenatal Diagnosis Renal Pelvis Bladder Outlet Obstruction Posterior Urethral Valve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Garrett WJ, Grunwald G, Robinson TE. (1970) Prenatal diagnosis of fetal poly-cystic kidney by ultrasound. J Obstet Gynecol 10: 729.Google Scholar
  2. 2.
    Cendron M, Elder JS, Duckett JW. (1996) Perinatal urology. In: Gillenwater J, Grayhack JT, Howard SS, et al., eds., Adult and Pediatric Urology, 3d ed. St. Louis, MO: Mosby-Year Book, pp. 2075–2169.Google Scholar
  3. 3.
    Lawson TL, Fowley WD, Berland, LL, et al. (1981) Ultrasonic evaluation of fetal kidneys: analysis of normal size and frequency of visualization related to stage of pregnancy. Radiology 138: 153.PubMedGoogle Scholar
  4. 4.
    Ellison L, Cendron M, Ornvold K, et al. (2000) Early diagnosis of fetal bladder outlet obstruction. J Pediatr Surg 35: 513–514.PubMedCrossRefGoogle Scholar
  5. 5.
    Najmaldin A, Burge DM, Atwell JD. (1999) Fetal vesico ureteral reflux. Br J Urol 65: 402–406.Google Scholar
  6. 6.
    Cohen HL, Cooper J, Isenberg P, et al. (1991) Normal length of the fetal kidneys: sonographic study in 397 of the obstetric patients. AJR 157: 545–548PubMedGoogle Scholar
  7. 7.
    Doubilet PM, Benson CB. (1999) Ultrasound evaluation of amniotic fluid. In: Callen P, ed., Ultrasonography and Obstetrics and Gynecology. Philadelphia, PA: WB Saunders, pp. 475, 476.Google Scholar
  8. 8.
    Morin L, Cendron M, Crumbleholm TM, et al. (1996) Minimal hydronephrosis in the fetus: clinical significance and implication for management. J Urol 155: 2047–2049.PubMedCrossRefGoogle Scholar
  9. 9.
    Grignon A, Filion R, Filiatraut D, et al. (1986) Urinary tract dilatation in utero: classification in clinical application. Radiology 160: 645–647.PubMedGoogle Scholar
  10. 10.
    Hanna MK, Jeffs RD, Sturgess, JN, et al. (1976) Ureteral structure and ultra structure: Part 2 congenital ureteral pelvic junction obstruction and primary obstructive megaureter. J Urol 116: 725.PubMedGoogle Scholar
  11. 11.
    Cendron M, D’Alton M, Crumbeholm T. (1994)- Prenatal diagnosis and management of the fetus with hydronephrosis. Semin Perinatol 18: 163–181.Google Scholar
  12. 12.
    Laing FC, Burk VD, Wing VW. (1984) Postpartum evaluation of fetal hydronephrosis: optimal timing for follow-up sonography. Radiology 152: 423, 424.Google Scholar

Copyright information

© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Marc Cendron

There are no affiliations available

Personalised recommendations