11 ANTENATAL DIAGNOSIS OF PELVI-URETERIC JUNCTION OBSTRUCTION & ITS OUTCOME
Journal Title: Indian journal of applied basic medical sciences - Year 2017, Vol 19, Issue 29
Abstract
Background: The term pelvic-ureteric obstruction denotes a restriction of flow of urine from the renal pelvis to the ureter which if left uncorrected will lead to progressive renal deterioration. Today majority of the cases are identified and diagnosed in the perinatal period (1,9). To a lesser degree it is also seen in childhood and adolescence period. However not all the cases of PUJ obstruction require surgery Aim: A retrospective analysis of antenatally detected cases of hydronephrosis was done to elucidate the postnatal outcome and management on a prolonged follow up. Materials and Method: From about 5000 antenatal ultrasound scans carried out at our institute annually from NOVEMBER 2011 to JANUARY 2014, total 49 cases were suggestive of hydronephrosis;34 out of these 49(70%) were diagnosed as Pelvi-ureteric junction obstruction. Setting and Design: A retrospective study of patients with hydronephrosis detected on antenatal ultrasound scan from NOVEMBER 2011 to JANUARY 2014. Results: 9 out of 34 babies (25%) detected to have Pelvi-ureteric junction obstruction on antenatal ultrasound were transient obstructions. Out of the remaining 25 cases,7(28%) did well on observation alone and did not require surgery while the rest 18 (72%) required surgical intervention. Conclusion: Conservative management of Pelvi-ureteric junction obstruction is a safe procedure, provided diligent follow up is maintained and surgical intervention is done in case of deterioration of renal function or presence symptoms or both. Satistics and analysis: The study was subjected to bi-variable analysis with two test preparation and was statistically significant while p<0.05.
Authors and Affiliations
Dr. Sudhir Chandna, Dr. Urvish parikh
Keywords
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