Imaging for evaluation of urologic abnormalities in infants with fetal hydronephrosis: advances and controversies

• Published in: Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia Vol. 34; no. 4; p. 395
• Main Authors: Dias, Cristiane Santos, Silva, José Maria Penido, Marciano, Renata Cristiane, Bouzada, Maria Candida Ferrarez, Parisotto, Viviane Marino, Sanches, Sandra, Rodrigues, Carlos José Simal, Duarte, Mariana Guerra, Simões e Silva, Ana Cristina, de Oliveira, Eduardo Araujo
• Format: Journal Article
• Language: Portuguese
• Published: Brazil 01-10-2012
• Subjects: Congenital Abnormalities - diagnosis; Diagnostic Imaging; Fetal Diseases - diagnostic imaging; Humans; Hydronephrosis - complications; Hydronephrosis - diagnostic imaging; Infant, Newborn; Ultrasonography, Prenatal; Urinary Tract - abnormalities
• ISSN: 2175-8239

Recent advances in prenatal diagnosis resulted in an improvement of detection and management of urinary tract abnormalities. Prenatal ultrasonography allows to identify urological abnormalities that otherwise would not be seen until later in life, when complications occur. The voiding cystourethrogram can be reserved for selected patients. Nuclear medicine exams should be performed in cases of moderate and severe hydronephrosis. A review of the current literature on postnatal approach of prenatal hydronephrosis was performed. Data obtained were compared with the records of the Pediatric Nephrology Unit HC/UFMG regarding management and follow-up of children with uropathies detected while investigating for fetal hydronephrosis.