The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero

Jørgen Mogens Thorup; T Mortensen; Henrik Diemer; A Johnsen

The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero

Jørgen Mogens Thorup, T Mortensen, Henrik Diemer, A Johnsen

21 Citationer (Scopus)

Abstract

Nine patients with a prenatal ultrasonic diagnosis of unilateral ureteropelvic junction obstruction underwent pyeloplasty in early neonatal life. Based on radiological and renographical assessment of the results, immediate postnatal intervention had no demonstrable advantage over those subjects in a control group who underwent an operation after presenting with symptoms. Half of the children in both groups had normal parenchymal function of the hydronephrotic kidney. Because of the operative complications we found it unacceptable to operate on neonates without symptoms and with normal function of the affected kidney. The advantage of prenatal diagnosis lies in the early recognition of the necessity of close surveillance. The primary indications for surgical intervention should be symptoms and impairment of the hydronephrotic kidney function.

Originalsprog	Engelsk
Tidsskrift	The Journal of Urology
Vol/bind	134
Udgave nummer	5
Sider (fra-til)	914-7
Antal sider	4
ISSN	0022-5347
Status	Udgivet - nov. 1985

Citationsformater

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title = "The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero",

abstract = "Nine patients with a prenatal ultrasonic diagnosis of unilateral ureteropelvic junction obstruction underwent pyeloplasty in early neonatal life. Based on radiological and renographical assessment of the results, immediate postnatal intervention had no demonstrable advantage over those subjects in a control group who underwent an operation after presenting with symptoms. Half of the children in both groups had normal parenchymal function of the hydronephrotic kidney. Because of the operative complications we found it unacceptable to operate on neonates without symptoms and with normal function of the affected kidney. The advantage of prenatal diagnosis lies in the early recognition of the necessity of close surveillance. The primary indications for surgical intervention should be symptoms and impairment of the hydronephrotic kidney function.",

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year = "1985",

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T1 - The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero

AU - Thorup, Jørgen Mogens

AU - Mortensen, T

AU - Diemer, Henrik

AU - Johnsen, A

PY - 1985/11

Y1 - 1985/11

N2 - Nine patients with a prenatal ultrasonic diagnosis of unilateral ureteropelvic junction obstruction underwent pyeloplasty in early neonatal life. Based on radiological and renographical assessment of the results, immediate postnatal intervention had no demonstrable advantage over those subjects in a control group who underwent an operation after presenting with symptoms. Half of the children in both groups had normal parenchymal function of the hydronephrotic kidney. Because of the operative complications we found it unacceptable to operate on neonates without symptoms and with normal function of the affected kidney. The advantage of prenatal diagnosis lies in the early recognition of the necessity of close surveillance. The primary indications for surgical intervention should be symptoms and impairment of the hydronephrotic kidney function.

AB - Nine patients with a prenatal ultrasonic diagnosis of unilateral ureteropelvic junction obstruction underwent pyeloplasty in early neonatal life. Based on radiological and renographical assessment of the results, immediate postnatal intervention had no demonstrable advantage over those subjects in a control group who underwent an operation after presenting with symptoms. Half of the children in both groups had normal parenchymal function of the hydronephrotic kidney. Because of the operative complications we found it unacceptable to operate on neonates without symptoms and with normal function of the affected kidney. The advantage of prenatal diagnosis lies in the early recognition of the necessity of close surveillance. The primary indications for surgical intervention should be symptoms and impairment of the hydronephrotic kidney function.

KW - Child

KW - Child, Preschool

KW - Female

KW - Fetal Diseases

KW - Follow-Up Studies

KW - Humans

KW - Hydronephrosis

KW - Infant

KW - Infant, Newborn

KW - Male

KW - Pregnancy

KW - Prenatal Diagnosis

KW - Prognosis

KW - Time Factors

KW - Ultrasonography

M3 - Journal article

C2 - 3903216

SN - 0022-5347

VL - 134

SP - 914

EP - 917

JO - Journal of Urology

JF - Journal of Urology

IS - 5

ER -

The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero

Abstract

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Citationsformater