The natural history, follow-up and therapeutic approach of hydronephrosis after birth

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dc.contributor.authorÖnen A.
dc.date.accessioned2024-04-24T18:43:39Z
dc.date.available2024-04-24T18:43:39Z
dc.date.issued2006
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim: To determine the natural history, follow-up and therapeutic approach of antenatally diagnosed UPJ-type hydronephrosis after birth. Material and Methods: A total of 108 patients (159 kidneys) associated with antenatally diagnosed UPJ-type hydronephrosis were prospectively followed and treated by the same surgeon between January 2001 and December 2003 for a period of 29 (8-44) months. Ultrasonography and diuretic renogram were used for the diagnosis and follow-up of these patients. SFU grading system and renal pelvic anterior-posterior (AP) diameters were used to determine the severity of hydronephrosis. Results: Seventy-five were boy and 33 were girl. On the first postnatal ultrasound, renal pelvic AP diameter was <15mm in 126 kidneys (surgery, 0.8%), 16-30 mm in 18 (surgery, 22.2%), and >30mm in 15 kidneys (surgery, 80 %). On the first postnatal ultrasound, the severity of hydronephrosis was SFU ? 2 in 125 kidneys (surgery, 0%), SFU-3 in 13 (surgery, 15.4%), and SFU-4 in 21 kidneys (surgery, 71.4%). A total of 142 kidneys (89%) were treated conservatively, while 17 required surgery. Conclusions: Serial ultrasonographic evaluation is very beneficial in determining the natural history of UPJ-type hydronephrosis. The vast majority of mild hydronephrosis is benign and resolve spontaneously without significant renal deterioration. Therefore, close follow-up and invasive tests are not necessary in such cases. About 1/5th of moderate hydronephrosis may require surgery. Therefore, close follow-up is necessary in these patients. About 3/4th of severe hydronephrosis require surgery. Rapid evaluation, close follow-up and timely prompt management are necessary in such cases.en_US
dc.identifier.endpage38en_US
dc.identifier.issn1305-5194
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-33745748008en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage33en_US
dc.identifier.urihttps://hdl.handle.net/11468/24256
dc.identifier.volume20en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.relation.ispartofCocuk Cerrahisi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectFollow-Upen_US
dc.subjectHydronephrosisen_US
dc.subjectTreatmenten_US
dc.subjectUreteropelvic Junctionen_US
dc.titleThe natural history, follow-up and therapeutic approach of hydronephrosis after birthen_US
dc.title.alternativeHidronefrozlarin doğum sonrasi doğal seyri ve takip-tedavi yaklaşimien_US
dc.typeArticleen_US

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