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Management of Prenatal Hydronephrosis

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Pediatric Surgery
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An abnormality involving the genitourinary tract is detected in 1 in 50 to 1 in 100 pregnancies, depending on the sonographic criteria. The goal of management is to recognize and treat congenital anomalies that may adversely affect renal function or cause urinary infection or sepsis. Most structural abnormalities of the urinary tract are characterized by hydronephrosis, which generally is assumed to be obstructive. However, hydronephrosis is not often caused by obstruction; examples include vesicoureteral refl ux, multicystic kidney, and certain abnormalities of the ureteropelvic and ureterovesical junction.

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  • Castagnetti M, Cimador M, Sergio M, De Grazia E (2006) Double-J stent insertion across vesicoureteral junction—Is it a valuable initial approach in neonates and infants with severe primary nonrefl uxing megaureter? Urology 68:870–875

    Article  PubMed  Google Scholar 

  • Cendron M, Elder JS (2002) Perinatal urology. In JY Gillenwater, JT Grayhack, SS Howards, M Mitchell (eds) Adult and Pediatric Urology, 4th edn. Lippincott Williams & Wilkins, Philadelphia pp 2041–2127

    Google Scholar 

  • Fefer S, Ellsworth P (2006) Prenatal hydronephrosis. Pediatr Clin N Am 53:429–447

    Article  Google Scholar 

  • Herndon CD (2006) Antenatal hydronephrosis: Differential diagnosis, evaluation, and treatment options. Scientifi c World J 6:2345–2365

    Google Scholar 

  • Lee RS, Cendron M, Kinnamon DD, Nguyen HT (2006) Antenatal hydronephrosis as a predictor of postnatal outcome: A metaanalysis. Pediatrics 118:586–593

    Article  PubMed  Google Scholar 

  • Maizels M, Mitchell B, Kass E et al (1994) Outcome of non-specifi c hydronephrosis in the infant: A report from the registry of the Society for Fetal Urology. J Urol 152:2324

    PubMed  CAS  Google Scholar 

  • Onen A, Jayanthi VR, Koff SA (2002) Long-term followup of prenatally detected severe bilateral newborn hydronephrosis initially managed nonoperatively. J Urol 168: 1118–1120

    Article  PubMed  CAS  Google Scholar 

  • P Puri, ME Hollwarth (eds) (2006) Pediatric Surgery, Springer-Verlag, Berlin, Heidelberg.

    Google Scholar 

  • Shukla AR, Cooper J, Patel RP et al (2005) Prenatally detected primary megaureter: A role for extended followup. J Urol 173:1353–1356

    Article  PubMed  Google Scholar 

  • Sidhu G, Beyene J, Rosenblum ND (2006) Outcome of isolated antenatal hydronephrosis: A systematic review and meta-analysis. Pediatr Nephrol 21:218–224

    Article  PubMed  Google Scholar 

  • Walsh TJ, Hsieh S, Grady R, Mueiler BA (2007) Antenatal hydronephrosis and the risk of pyelonephritis hospitalization during the fi rst year of life. Urology 69:970–974

    Article  PubMed  Google Scholar 

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© 2009 Springer-Verlag Berlin Heidelberg

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Elder, J.S. (2009). Management of Prenatal Hydronephrosis. In: Puri, P., Höllwarth, M. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69560-8_84

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  • DOI: https://doi.org/10.1007/978-3-540-69560-8_84

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-69559-2

  • Online ISBN: 978-3-540-69560-8

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