The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero
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The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero. / Thorup, Jørgen Mogens; Mortensen, T; Diemer, Henrik; Johnsen, A.
I: The Journal of Urology, Bind 134, Nr. 5, 11.1985, s. 914-7.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
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
VL - 134
SP - 914
EP - 917
JO - Journal of Urology
JF - Journal of Urology
SN - 0022-5347
IS - 5
ER -
ID: 47629655