Protocol For Postnatal Management of Antenatal Hydronephrosis Diagnosed Children
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 8
Abstract
The aim of management antenatal hydronephrosis (HAN) is to identify which are the cases who need early postnatal treat because their renal function is endangered. OBJECTIVE: analyzing the postnatal development of children with HAN, to adjust international protocols of the our population. MATERIAL AND METHODS: We conducted a retrospective study on 140 cases with antenatal hydronephrosis hospitalized in our clinic between 2010 - 2014. RESULTS: The rapport ws 2:1 for boys. 50% presented at least one episode of urinary infection. All children received ultrasound, 75% were evaluated by voiding cystography. Pielo-ureteric junction obstruction was diagnosed in 40% cases, vesico-ureteral reflux in 30% cases. Renal dynamic scintigraphy was performed at 25% patients. 25% required surgical intervention. Antibiotic prophylaxis was recommended to 50% patients. CONCLUSION: HAN postnatal evaluation should follow a clear protocol in order to early detection of clinically significant malformations and adoption of therapeutic attitudes before the onset of complications.
Authors and Affiliations
Magdalena Stârcea, Radu Russu, Mihaela Munteanu
Keywords
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