ESPN 50th Annual Meeting

ESPN 2017


 
One-year follow-up results of infants with antenatal Hydronephrosis
DUYGU ÖVÜNÇ HACIHAMDIOĞLU 1 ZEKIYE KÜPÇÜ 1 GAMZE ÖZGÜRHAN 1

1- SÜLEYMANIYE OBSTETRIC AND CHILD DISEASES TRAINING AND RESEARCH HOSPITAL
 
Introduction:

The infants who had diagnosed antenatal hydronephrosis are followed up by pediatric nephrology department according to the Turkish Pediatric Nephrology Society CAKUT (Congenital Anomalies of Kidney and Urinary Tract) Guidelines.

Material and methods:

The guideline is summarized as figure 1.

Results:

Ninety-three infants (64 males,0.83 years, range 0.1-2.1 years) were followed up. According to 3-4th days and 4-6th week ultrasonography results 5 (5.4%) patients were normal, 70 (75.3%) patients were mild, 14 (15.1%) patients were moderate and 4(4.3%) patients were severe hydronephrosis. voiding cystourethrogram (VCUG) was performed in 10 (10,7%) patients, 2 of them had unilateral grade 4 vesico-ureteric reflux (VUR). MAG3 scan was performed in 8 (8,6%) patients, 2 of them had ureteropelvic junction obstruction, 1 of them had pyeloplasty. After one year follow-up of 88 infants, 47(53.4%) patients were normal, 23(26.1%) patients were mild, 11(12.5%) patients were moderate and 7(8%) patients were severe hydronephrosis. Three cases (3.4%) progressed from moderate to severe. 6 patients who had performed both VCUG and MAG3 have no pathologic finding and have no clinic disease such as urinary tract infection or failure to thrive

Conclusions:

Regular follow-up of antenatal hydronephrosis cases; while preventing unnecessary invasive testing of transient hydronephrosis, provides early intervention in cases of high risk for the urinary system anomaly