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Clin Exc 2013, 1(1): 63-80 |
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vazirian S, Mohammadjafari H, Mohammadjafari R. Postnatal management of prenatal hydronephrosis. Clin Exc 2013; 1 (1) :63-80
URL: http://ce.mazums.ac.ir/article-1-28-en.html
URL: http://ce.mazums.ac.ir/article-1-28-en.html
Abstract: (45806 Views)
Neonatal Hydronephrosis is a common abnormality diagnosed antenatally observed in 1% of
neonates. Although most cases of prenatal hydronephrosis are due to renal outlet obstruction,
vesicoureteral reflux (VUR) is a common cause occurring in 10 to 15 percent of them.
Early detection of these abnormalities in neonates and infants is critical due to inducing
higher risk of renal damage in very young children. Ultrasonography is the most popular
imaging study performed in these neonates.
Dynamic renal scan is helpful to determine presence of obstruction and severity of renal
function insult.
There is a great controversial issue in performing VCUG in neonates with antenatal
hydronephrosis. Most authors recommend VCUG for all of them.
According to etiologies there are different ways of therapies: surgery for sever degree of
obstruction, antibiotic prophylaxis for VUR and observational therapy for others. The most
important factors for determining patients’ outcome are severity of renal involvement and
correct diagnosis in appropriate time of postnatal life.
Keywords: Prenatal hydronephrosis, vesicoureteral reflux, posterior urethral value, ureteropevic Junction obs truction.
Subject:
اپيدميولوژي
Received: 2013/01/13 | Accepted: 2013/08/27 | Published: 2013/08/27
Received: 2013/01/13 | Accepted: 2013/08/27 | Published: 2013/08/27
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