Isolated low grade prenatally detected unilateral hydronephrosis: do we need long term follow-up?
ABSTRACT Purpose: To assess the need for postnatal evaluation and the medium term outcome in patients with isolated unilateral low grade prenatally detected hydronephrosis. Materials and Methods: We prospectively selected 424 patients (690 kidney units) with a prenatal diagnosis of urinary tract d...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
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| Series: | International Brazilian Journal of Urology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000400812&lng=en&tlng=en |
| _version_ | 1818022350984052736 |
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| author | Osama M. Sarhan Ahmed El Helaly Abdulhakim Al Otay Mustafa Al Ghanbar Ziad Nakshabandi |
| author_facet | Osama M. Sarhan Ahmed El Helaly Abdulhakim Al Otay Mustafa Al Ghanbar Ziad Nakshabandi |
| author_sort | Osama M. Sarhan |
| collection | DOAJ |
| description | ABSTRACT Purpose: To assess the need for postnatal evaluation and the medium term outcome in patients with isolated unilateral low grade prenatally detected hydronephrosis. Materials and Methods: We prospectively selected 424 patients (690 kidney units) with a prenatal diagnosis of urinary tract dilatation between 2010 and 2013. We included only those patients with isolated unilateral low-grade hydronephrosis who underwent at least 2 postnatal ultrasound examinations. The Society for Fetal Urology (SFU) grading system was utilized for assessment of the hydronephrosis. We excluded patients with bilateral dilation or other urological abnormalities. The fate of hydronephrosis including resolution, stability or worsening was documented. Results: A total of 66 infants (44 boys and 22 girls) with antenatally diagnosed unilateral urinary tract dilation (23 right and 43 left) were identified. Ultrasounds showed SFU grade 1 hydronephrosis in 32 patients (48%) and SFU grade 2 hydronephrosis in 34 (52%). After a mean follow-up period of 32 months (range 12 to 60), 37 patients (56%) had complete resolution of hydronephrosis while the remaining 29 were stable (44%). None of our patients developed UTIs during follow-up and none required surgical intervention. Conclusions: Prenatally detected, isolated unilateral low-grade hydronephrosis usually have a favorable prognosis. All cases in our cohort showed either stability or resolution of hydronephrosis without any harmful consequences. Based on our findings on medium-term in this category of patients, long-term follow-up is not warranted. |
| first_indexed | 2024-04-14T08:30:20Z |
| format | Article |
| id | doaj.art-b789a9f65c114cc2afd30634ebdb8eb7 |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-04-14T08:30:20Z |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-b789a9f65c114cc2afd30634ebdb8eb72022-12-22T02:03:56ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-611944481281810.1590/s1677-5538.ibju.2017.0474S1677-55382018000400812Isolated low grade prenatally detected unilateral hydronephrosis: do we need long term follow-up?Osama M. SarhanAhmed El HelalyAbdulhakim Al OtayMustafa Al GhanbarZiad NakshabandiABSTRACT Purpose: To assess the need for postnatal evaluation and the medium term outcome in patients with isolated unilateral low grade prenatally detected hydronephrosis. Materials and Methods: We prospectively selected 424 patients (690 kidney units) with a prenatal diagnosis of urinary tract dilatation between 2010 and 2013. We included only those patients with isolated unilateral low-grade hydronephrosis who underwent at least 2 postnatal ultrasound examinations. The Society for Fetal Urology (SFU) grading system was utilized for assessment of the hydronephrosis. We excluded patients with bilateral dilation or other urological abnormalities. The fate of hydronephrosis including resolution, stability or worsening was documented. Results: A total of 66 infants (44 boys and 22 girls) with antenatally diagnosed unilateral urinary tract dilation (23 right and 43 left) were identified. Ultrasounds showed SFU grade 1 hydronephrosis in 32 patients (48%) and SFU grade 2 hydronephrosis in 34 (52%). After a mean follow-up period of 32 months (range 12 to 60), 37 patients (56%) had complete resolution of hydronephrosis while the remaining 29 were stable (44%). None of our patients developed UTIs during follow-up and none required surgical intervention. Conclusions: Prenatally detected, isolated unilateral low-grade hydronephrosis usually have a favorable prognosis. All cases in our cohort showed either stability or resolution of hydronephrosis without any harmful consequences. Based on our findings on medium-term in this category of patients, long-term follow-up is not warranted.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000400812&lng=en&tlng=enHydronephrosisFollow-Up StudiesUrinary Tract |
| spellingShingle | Osama M. Sarhan Ahmed El Helaly Abdulhakim Al Otay Mustafa Al Ghanbar Ziad Nakshabandi Isolated low grade prenatally detected unilateral hydronephrosis: do we need long term follow-up? International Brazilian Journal of Urology Hydronephrosis Follow-Up Studies Urinary Tract |
| title | Isolated low grade prenatally detected unilateral hydronephrosis: do we need long term follow-up? |
| title_full | Isolated low grade prenatally detected unilateral hydronephrosis: do we need long term follow-up? |
| title_fullStr | Isolated low grade prenatally detected unilateral hydronephrosis: do we need long term follow-up? |
| title_full_unstemmed | Isolated low grade prenatally detected unilateral hydronephrosis: do we need long term follow-up? |
| title_short | Isolated low grade prenatally detected unilateral hydronephrosis: do we need long term follow-up? |
| title_sort | isolated low grade prenatally detected unilateral hydronephrosis do we need long term follow up |
| topic | Hydronephrosis Follow-Up Studies Urinary Tract |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000400812&lng=en&tlng=en |
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