Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2010, Vol. 06 ›› Issue (02): 142 -145. doi: 10.3877/cma.j.issn.1673-5250.2010.02.023

Review

Prognosis Evaluation and Management of Fetal Hydronephrosis

Xiao-ling LONG   

  1. West China Second University Hospital, Sichuan University, Chengdu 610041, China
  • Published:2010-04-01

With the widespread application of prenatal ultrasound, the detection rate of fetal congenital malformations increased continuously. Among that, fetal hydronephrosis accounted for 50%. Most of fetal hydronephrosis can recover spontaneously with individual's self-development, but its not yet clear whether it's recoverable or not. At present, diagnosis of fetal hydronephrosis has no uniform standard, and its right mangement also has no great deal of controversy. This review will discuss the recent literatures and perspectives about fetal hydronephrosis.

1 Keays M, Guerra L, Mihill J, et al. Reliability and validity assessment of society for fetal urology ultrasound grading system for hydronephrosis [J]. Urology, 2007, 70: 46-47.
2 Sidhu G, Beyene J, Rosenblum N. Outcome of isolated antenatal hydronephrosis: A systematic review and meta-analysis[J]. Pediatr Nephrol, 2006, 21: 214-218.
3 Feldman D, DeCambre M, Kong E, et al. Evaluation and follow-up of fetal hydronephrosis[J]. Ultrasound Med, 2001, 20: 1065-1069.
4 Toiviainen-Salo S, Garel L, Grignon A, et al. Fetal hydronephrosis: Is there hope for consensus[J]? Pediatr Radiol, 2004, 34: 519-529.
5 Wollenberg A, Neuhaus T, Willi U, et al. Outcome of fetal renal pelvic dilatation diagnosed during the third trimester[J]. Ultrasound Obstet Gynecol, 2005, 25: 483-488.
6 Woodward M, Frank D. Postnatal management of antenatal hydronephrosis[J]. BJU Intern, 2002, 89: 149-156.
7 Broadley P, Mchugo J, Morgan I, et al. The 4 year outcome following the demonstration of bilateral renal pelvic dilatation on prenatal renal ultrasound[J]. Br J Radiol, 1999, 72: 265-270.
8 Ismaili K, Hall M, Donner C, et al. Results of systematic screening for minor degree of fetal renal pelvis dilatation in an unselected population[J]. Am J Obstet Gynecol, 2003, 188: 242-246.
9 Signorelli M, Cerri V, Taddei F, et al. Prenatal diagnosis and management of mild fetal pyelectasis: Implications for neonatal outcome and follow-up[J]. Eur J Obstet Gynecol, 2005, 118: 154-159.
10 Loralei L, Thornburg, Eva K, et al. Third trimester ultrasound of fetal pyelectasis: Predictor for postnatal surgery[J]. Pediatr Urol,2008, 4: 51-54.
11 Pates J, Dashe J. Prenatal diagnosis and management of hydronephrosis[J]. Early Hum Dev, 2006, 82(1): 3-8.
12 Yiee J, Wilcox D. Management of fetal hydronephrosis[J]. Pediatr Nephrol, 2008, 23: 347-353.
13 Yee V, Leung M, Winnie C, et al. Hydronephrosis index: A better physiological reference in antenatal ultrasound for assessment of fetal hydronephrosis[J]. J Pediatr, 2008, 6: 32.
14 Oliveira E, Diniz J, Cabral A, et al. Predictive factors of fetal uerthral obstruction: A multivariate analysis[J]. Fetal Diagn Ther, 2000, 15: 180-186.
15 Koff S. Neonatal management of unilateral hydronephrosis: Role for delayed intervention[J].Urol Clin North Am, 1998, 25: 181-187.
16 Dandolo G, Stefania F, Eleonora C, et al. Diagnostic accuracy of fetal renal pelvis anteroposterior diameter as a predictor of significant postnatal nephrouropathy: Second versus third trimester of pregnancy[J]. Am J Obstet Gynecol,2006, 194: 167-173.
17 Thomas C, Feldstein VA, Hiep T. Nguyen increased echogenicity as a predictor of poor renal function in children with grade 3 to 4 hydronephrosis[J].Urology, 2006, 175: 1898-1901.
18 Iura T, Makinoda S, Miyazaki S, et al. Prenatal diagnosis of the hemodynamics of fetal renal disease by color Doppler ultrasound [J]. Fetal Diagn Ther, 2003, 18: 148-153.
19 Biard J, Johnson M, Carr M, et al. Long-term outcomes in children treated by prenatal vesicoamniotic shunting for lower urinary tract obstruction[J]. Obstet Gynecol, 2005, 106: 503-508.
20 Bornstein E, Barnhard Y, Donnenfeld A, et al. Fetal pyelectasis: Does fetal gender modify the risk of major trisomies [J]? Obstet Gynecol, 2006, 107: 877-879.
21 Chertin B, Pollack A, Koulikov D, et al. Conservative treatment of ureteropelvic junction obstruction in children with antenatal diagnosis of hydronephrosis: Lessons learned after 16 years of follow up[J]. Eur Urol, 2006, 49: 734-739.
22 Vergani P, Ceruti P, Locatelli A, et al. Accuracy of prenatal ultrasonographic diagnosis of duplex renal system[J]. Ultrasound Med, 1999, 18: 463-467.
23 Onen A. An alternative grading system to refine the criteria for severity of hydronephrosis and optimal treatment guidelines in neonates with primary UPJ-type hydronephrosis[J]. Pediatr Urol, 2007, 3: 200-205.
24 Leah P, McMann D, Andrew J, et al. Magnetic resonance urography in the evaluation of prenatally diagnosed hydronephrosis and renal dysgenesis[J]. Urology,2006, 176: 1786-1792.
25 Quan A. Fetal and neonatal hydronephrosis[J]. Early Hum Dev, 2006, 82: 1-2.
26 Soothill PW, Bartha JL, Tizard J. Ultrasound 2 guided laser treatment for fetal bladder outlet obstruction resulting from ureterocele[J]. Am J Obstet Gynecol, 2003, 188: 1107-1108.
27 Song SH, Lee SB, Park YS, et al. Is antibiotic prophylaxis necessary in infants with obstructive hydronephrosis[J]? Urology,2007, 177: 1098-1110.
28 Belarmino JM, Kogan BA. Management of neonatal hydronephrosis[J]. Early Hum Dev, 2006, 82: 9-14.
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