<- Home <- Arhive <- Vol. 5, Issue 4, December 2009



GINECOeu5(4)219-223(2009)
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Diagnosis of fetal pyelectasis and urinary pathology in infants

C. Mărginean, O. Mărginean, C. Duicu, C. Eşanu, B. Szabo, L. Puşcaşiu, V. Molnar


Abstract: The present study proposes the follow up of intrauterine tracked fetuses with uni- or bilateral pyelectasis. In the period April 2006-May 2008 in the Gynecology Clinic I Tg. Mureş 27 second trimester pregnancies were tracked with fetuses having uni, bilateral pyelectasis. We followed the increase of pylon dilation, calyx and urinary bladder. Newborns underwent ultrasounds evaluation after birth and at the age of 3-6 months. In our cohort needed surgical procedures in the first year 5 children (20%), concerning in bilateral nephrostomy, resection of urethral valve and ureterocele resection. Of the 25 infants with hydronephrosis, 11 (44%) had nephrosis of 3rd or 4th degree. The growth of pyelectasis or fetal hydronephrosis is not a predictive factor for severity of fetal hydronephrosis. Our study emphasizes the importance of fetal pyelectasis disclosure and of tracking the new born during their first life months with regards to preservation of renal functions.
Keywords: renal, fetal pylon, hydronephrosis

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