Outcomes of children with antenatal hydronephrosis admitted to our polyclinic; the significance of pathological hydronephrosis and impact of severe antenatal hydronephrosis on prognosis
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Dosyalar
Tarih
2016
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Duzce University Medical School
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Antenatal hydronephrosis is the most common renal abnormalities detected during pregnancy and the extensive use of ultrasonography during pregnancy has resulted in a greater detection rate for antenatal hydronephrosis. The objective of our study is to investigate etiology of patients that were diagnosed antenatal hydronephrosis, to emphasize the significance of pathological hydronephrosis, to investigate the relationship between hydronephrosis scores and urinary system anomalies and contribute to the literature. Patients, admitted to pediatric nephrology polyclinic between October 2008 and February 2013, were investigated retrospectively; 85 patients and 124 kidneys were taken into study. The majority of patients were boys. 36.5% of the patients were first diagnosed on 2nd trimester, and 63.5 % were first diagnosed on the 3rd trimester. 73.9% of the patients had antenatal hydronephrosis on their left kidney. Urinary infection rate in all the patients was 18.8%, and it was significantly high in patients with pathologic hydronephrosis. Detection of pathologic hydronephrosis by ultrasonography was significantly higher in patients with severe hydronephrosis. During their follow-up 12.9% of the patients underwent surgery. Surgery rate was significantly higher in patients with pathologic hydronephrosis. The majority of patients with antenatal hydronephrosis are found to have nonpathological hydronephrosis in their follow-up. Diagnosing severe and pathologic hydronephrosis is important for follow-up and treatment strategies. © 2016 Düzce Medical Journal.
Açıklama
Anahtar Kelimeler
Antenatal hydronephrosis; Hydronephrosis follow-up; Prenatal diagnosis
Kaynak
Düzce Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
18
Sayı
2
