Document Detail


Fetal pyelectasis: comparison of postnatal renal pathology with unilateral and bilateral pyelectasis.
MedLine Citation:
PMID:  9178320     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to determine the prenatal fetal pyelectasis which requires postnatal evaluation. This was a retrospective analysis involving 65 infants with complete urological follow-up; 59 had shown prenatal evidence of pyelectasis using previously published standards. Males were more common in both the normal (75 per cent) and the abnormal (77 per cent) postnatal outcome groups. Unilateral prenatal lesions were less common than bilateral, but had significant postnatal pathology in 47 and 26 per cent, respectively (n.s.). Persistent dilatation was likely to be associated with postnatal pathology. A 6 mm threshold of dilatation predicted the 19 infants with significant postnatal pathology. The majority of fetuses with pyelectasis in the study had normal outcomes, with males often showing 'transitory pyelectasis'. A repeat prenatal scan at 30-40 weeks' gestation is recommended for all fetuses where 6 mm or more of renal pelvic dilatation is detected prior to 28 weeks. Postnatal follow-up is required for persistent pyelectasis.
Authors:
R D Wilson; S Lynch; V A Lessoway
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  17     ISSN:  0197-3851     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-07-29     Completed Date:  1997-07-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  451-5     Citation Subset:  IM    
Affiliation:
Department of Maternal-Fetal Medicine, University of British Columbia, B.C. Women's Hospital, Vancouver, Canada.
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MeSH Terms
Descriptor/Qualifier:
Dilatation, Pathologic / complications,  ultrasonography
Female
Fetal Diseases / pathology*,  ultrasonography
Follow-Up Studies
Humans
Kidney Pelvis / pathology*,  ultrasonography
Male
Pregnancy
Pregnancy Outcome
Retrospective Studies
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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