Clinical Significance of Mild Fetal Pelviectasia and The Role of Postnatal Voiding Cystourethrography.
- Author:
Soeun PARK
1
;
So Hyun KIM
;
Eun Sun YOO
;
Eun Ae PARK
;
Seung Joo LEE
Author Information
1. Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Mild fetal pelviectasia;
Vesicoureteral reflux;
Voiding cystourethrography
- MeSH:
Early Diagnosis;
Humans;
Infant, Newborn;
Kidney;
Male;
Vesico-Ureteral Reflux
- From:Journal of the Korean Society of Pediatric Nephrology
2001;5(2):182-187
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical significance of antenatally detected mild fetal pelviectasia and the role of voiding cystourethrography (VCUG). METHODS: From January 1999 to September 1999, 28 neonates (44 pelviectatic kidneys) with mild fetal pelviectasia (anteroposterial diameter <10 mm) were evaluated by postnatal renal sonography and voiding cystourethrography. RESULTS: Among 44 mild pelviectatic kidneys, 29 (65.9%) kidneys had no pelviectasia and 15 (34.1%) kidneys had persistent mild pelviectasia on postnatal renal sonography. Four (9.1%) kidneys of 3 males (10.7%) without pelviectasia on postnatal renal sonography had vesicoureteral reflux (VUR) on voiding cystourethrography. Vesicoureteral reflux was not correlated with prenatal progression or regression of pelviectasia and was not correlated with postnatal pelviectasia. CONCLUSION: All neonate with mild fetal pelviectasia need to undergo voiding cystoure- thrography for early diagnosis of vesicoureteral reflux even though postnatal renal sonography shows no pelviectasia.
