Abstract
This review article aims at summarizing the data regarding fetal and neonatal hydronephrosis, at correlating controversial data with the differences in the practice of obstetrical sonography from one country to another, and finally, at presenting our own criteria for fetal renal collecting system dilatation along with our own guidelines of postnatal investigation.
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References
Elder JS (1997) Antenatal hydronephrosis. Fetal and neonatal management. Pediatr Clin North Am 44:1299–1321
Scott JE, Renwick M (1993) Urological abnormalities in the northern region fetal abnormality survey. Arch Dis Child 68:22–26
Poutamo J, Vanninen R, Partanen K, et al (2000) Diagnosing fetal urinary tract anomalies: benefits of MRI compared to US. Acta Obstet Gynecol Scand 79:65–71
Thomas DF (2001) Prenatal diagnosis: does it alter outcome? Prenat Diagn 21:1004–1001
Leopold GR (1986) Antepartum obstetrical ultrasound examination guidelines (editorial). J Ultrasound Med 5:241
Brion LP, Satlin LM (1998) Clinical significance of developmental renal physiology. In: Rolin, Fox (eds) Fetal and neonatal physiology, 2nd edn. Saunders, Philadelphia, pp 1677–1691
Guillery EN, Nuyt A, Robillard JE (1998) Functional development of the kidney in utero. In: Rolin, Fox (eds) Fetal and neonatal physiology, 2nd edn. Saunders, Philadelphia, pp 1560–1573
Rosati P, Guariglia L (1996) Transvaginal sonographic assessment of the fetal urinary tract in early pregnancy. Ultrasound Obstet Gynecol 7:95–100
Bronstein M, Kushnir O, Ben RZ, et al (1990) Transvaginal sonographic measurement of fetal kidneys in the first trimester of pregnancy. J Clin Ultrasound 18:299–301
Cohen HL, Cooper J, Eisenberg P, et al (1991) Normal length of fetal kidneys. AJR 157:545–548
Avni FE, Garel L, Hall M, et al (2002) Perinatal approach to anomalies of the urinary tract, adrenals and genital system. In: Avni FE (ed) Perinatal imaging from ultrasound to MR imaging. Springer, Berlin Heidelberg New York, pp 153–196
Twining P (2003) Genotourinary malformations. In: Nyberg DA, McGahan JP, Pretorius DH, et al (eds) Diagnostic imaging of fetal anomalies. Lippincott, Philadelphia, pp 603–660
McHugo J, Whittle M (2001) Enlarged fetal bladders: aetiology, management and outcome. Prenat Diagn 21:958–963
Fagerquist M, Fagerquist U, Oden A, et al (2001) Fetal urine production and accuracy when estimating fetal urinary bladder volume. Ultrasound Obstet Gynecol 17:132–139
Rabinowitz R, Peters MT, Vyas S, et al (1989) Measurement of fetal urine production in normal pregnancy by real-time ultrasonography. Am J Obstet Gynecol 161:1264–1268
Babcook CJ, Silvera M, Drake C, et al (1998) Effect of maternal hydration on mild fetal pyelectasis. J Ultrasound Med 17:536–544
Robinson JN, Tice K, Kolm P, et al (1998) Effect of maternal hydration on fetal renal pyelectasis. Obstet Gynecol 92:137–141
Petrikovsky BM, Cuomo MI, Schnieder EP, et al (1995) Isolated fetal hydronephrosis: beware the effect of bladder filling. Prenat Diagn 15:827–829
Persutte WH, Hussey M, Chyu J, et al (2000) Striking findings concerning the variability in the measurement of the fetal renal collecting system. Ultrasound Obstet Gynecol 15:186–190
Graif M, Kessler A, Hart S, et al (1992) Renal pyelectasis in pregnancy: correlative evaluation of fetal and maternal collecting systems. Am J Obstet Gynecol 167:1304–1306
Adra AM, Mejides AA, Dennaoui MS, et al (1995) Fetal pyelectasis: is it always “physiologic”? Am J Obstet Gynecol 173:1263–1266
Dudley JA, Haworth JM, McGraw ME, et al (1997) Clinical relevance and implications of antenatal hydronephrosis. Arch Dis Child Fetal Neonatal Ed 76:F31–F34
Chudleigh PM, Chitty LS, Pembrey M, et al (2001) The association of aneuploidy and mild fetal pyelectasis in an unselected population: the results of a multicenter study. Ultrasound Obstet Gynecol 17:197–202
Avni FE, Schulman CC (1996) The origin of vesico-ureteric reflux in male newborns: further evidence in favor of a transient fetal urethral obstruction. Br J Urol 78:454–457
Gordon AC, Thomas FM, Irving RJ, et al (1990) Prenatally diagnosed reflux: a follow-up study. Br J Urol 65:407–412
Burge DM, Griffiths MD, Malone PS, et al (1992) Fetal vesicoureteral reflux: outcome following conservative postnatal management. J Urol 148:1743–1745
Elder JS (1992) Commentary: importance of antenatal diagnosis of vesico-ureteral reflux. J Urol 148:1750–1754
Walsh G, Dubbins PA (1996) Antenatal renal pelvis dilatation: a predictor of vesicoureteral reflux? AJR 167:897–900
Lam BC, Wong SN, Yeung CY, et al (1993) Outcome and management of babies with prenatal ultrasonographic renal abnormalities. Am J Perinatol 10:263–268
Arger PH, Coleman BG, Mintz MC, et al (1985) Routine fetal genitourinary tract screening. Radiology 156:485
Corteville JE, Gray DL, Crane JP (1991) Congenital hydronephrosis: correlation of fetal ultrasonographic findings with infant outcome. Am J Obstet Gynecol 165:384–388
Twining P (2000) Urinary tract abnormalities. In: Twining P, McHugo JM, Pilling DW (eds) Textbook of fetal abnormalities, 1st edn. Churchill Livingstone, London, pp 269–314
Persutte WH, Koyle M, Lenke RR, et al (1997) Mild pyelectasis ascertained with prenatal ultrasonography is pediatrically significant. Ultrasound Obstet Gynecol 10:12–18
Grignon A, Filion R, Filiatrault D, et al (1986) Urinary tract dilatation in utero. Classification and clinical applications. Radiology 160:645–647
Fernbach SK, Maizels M, Conway JJ (1993) Ultrasound grading of hydronephrosis: introduction to the system used by the society for fetal urology. Pediatr Radiol 23:478–480
Newell SJ, Morgan ME, McHugo JM, et al (1990) Clinical significance of antenatal calyceal dilatation detected by ultrasound. Lancet X:336:372
Johnson CE, Elder J, Judge NE, et al (1992) The accuracy of antenatal ultrasonography in identifying renal abnormalities. Am J Dis Child 146:1181–1184
Barker AP, Cave MM, Thomas DF, et al (1995) Fetal pelviureteric junction obstruction: predictors of outcome. Br J Urol 76:649–652
Winyard P, Chitty L (2001) Dysplastic and polycystic kidneys: diagnosis, associations and management. Prenat Diagn 21:924–935
Livera LN, Brookfield DS, Eggington JA, et al (1989) Antenatal ultrasonography to detect fetal renal abnormalities, a prospective screening programme. BMJ 298:1421–1423
Mandell J, Blyth BR, Peters CA, et al (1991) Structural genitourinary defects detected in utero. Radiology 178:193–196
Anderson N, Clautice-Engel T, Allan R, et al (1995) Detection of obstructive uropathy in the fetus: predictive value of sonographic measurements of renal pelvic diameter at various gestational ages. AJR 164:719–723
Ouzounian JG, Cantro MA, Fresquez M, et al (1996) Prognostic significance of antenatally detected fetal pyelectasis. Ultrasound Obstet Gynecol 7:424–428
James CA, Watson AR, Twining P, et al (1998) Antenatally detected urinary tract abnormalities: changing incidence and management. Eur J Pediatr 157:508–511
Woodward M, Frank D (2002) Postnatal management of antenatal hydronephrosis. BJU Int 89:149–156
Thomas DF (1998) Prenatally detected uropathies: epidemiological considerations. Br J Urol 81(suppl. 2):8–12
Ismaili K, Avni F, Hall M (2002) Results of systematic voiding cystourethrography in infants with antenatally diagnosed renal pelvis dilatation. J Pediatr 141:21–24
Avni FE, Nicaise N, Hall M, et al (2001) The role of MR imaging for the assessment of complicated duplex kidneys in children. Pediatr Radiol 31:215–223
Borthne A, Nordshus T, Reiseter T, et al (1999) MR urography the future golden standard in paediatric urogenital imaging? Pediatr Radiol 29:649–701
Grattan-Smith JD, Perez-Bayfield MR, Jones RA, et al (2003) Imaging of kidneys: functional evaluation using F-15 perfusion imaging. Pediatr Radiol 33:293–304
Rohrschneider WK, Haufe S, Clorius JH, et al (2003) MR to assess renal function in children. Eur Radiol 13:1033–1045
Teh HS, Ang ES, Wong WC, et al (2003) MR renography using a dynamic gradient-echo sequence and low-dose gadopentate diglumine as an alternative to radionuclide renography. AJR 181:441–450
Filly RA, Feldstein VA (2000) Fetal genitourinary tract. In: Callen PW (ed) Ultrasonography in obstetrics and gynecology, 4th edn. Saunders, Philadelphia, pp 517–550
Avni FE, Hall M, Rypens F (2001) The postnatal work-up of congenital uronephropathies. In: Baert AL, Sartor K (eds) Pediatric uroradiology. Springer, Berlin Heidelberg New York, pp 321–336
Ismaili K, Hall M, Donner C, et al (2003) Results of systematic screening for minor degrees of fetal renal pelvis dilatation in an unselected population. Am J Obstet Gynecol 188:242–246
Zerin M, Ritchney M, Chang A (1993) Incidental vesicoureteral reflux in neonates with antenatally detected hydronephrosis and other renal abnormalities. Radiology 187:157–160
Pal CR, Tuson JR, Lindsell DR, et al (1998) The role of micturating cystourethrography in antenatally detected mild hydronephrosis. Pediatr Radiol 28:152–155
Jaswon MS, Dibble L, Puri S, et al (1999) Prospective study of outcome in antenatally diagnosed renal pelvis dilatation. Arch Dis Child Fetal Neonatal Ed 80:F135–F138
Blane CE, Barr M, DiPietro MA, et al (1991) Renal obstructive dysplasia: ultrasound diagnosis and therapeutic implications. Pediatr Radiol 21:274–277
Owen RJ, Lamont AC, Brookes J (1996) Early management and postnatal investigation of prenatally diagnosed hydronephrosis. Clin Radiol 51:173–176
Wickstrom E, Maizels M, Sabbagha RE, et al (1996) Isolated fetal pyelectasis: assessment of risk for postnatal uropathy and down syndrome. Ultrasound Obstet Gynecol 8(4):236–240
Nalmaldin A, Burge DM, Atwell JD (1990) Fetal vesicoureteric reflux. Br J Urol 65:403–406
Bouachrine H, Lemelle JL, Didier F, et al (1996) A follow-up study of pre-natally detected primary vesicoureteric reflux: a review of 61 patients. Br J Urol 78:936–939
Ylinen E, Ala-Houhala M, Wikstrom S (2003) Risk of renal scarring in vesicoureteral reflux detected either antenatally or during the neonatal period. Urology 61:1238–1242
Gelfand MJ, Parker BR, Kushner DC, et al (2000) Urinary tract infection. American College of Radiology: ACR Appropriateness Criteria. Radiology 215[Suppl]:841–846
Dacher JN, Mandell J, Lebowitz RL (1992) Urinary tract infections in infants in spite of prenatal diagnosis of of hydronephrosis. Pediatr Radiol 22:401–405
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Toiviainen-Salo, S., Garel, L., Grignon, A. et al. Fetal hydronephrosis: is there hope for consensus?. Pediatr Radiol 34, 519–529 (2004). https://doi.org/10.1007/s00247-004-1185-9
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DOI: https://doi.org/10.1007/s00247-004-1185-9