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- W2047838127 abstract "Purpose In 2007 standard ultrasound screening at twenty weeks of pregnancy is introduced in The Netherlands. Abnormalities of the kidneys and/or urinary tract are the most frequent detected abnormalities. The aim of this study is to evaluate current daily practice concerning detected dilatation of the upper urinary tract during ultrasound screening in the 2 th trimester of pregnancy. Follow-up strategies both prenatal and after birth are studied. Material and Methods 34 Dutch Centres for Prenatal Diagnostics and Therapy (PNDT) are asked to fill in a questionnaire about their policies concerning prenatally detected hydronephrosis. Paediatric nephrologists and urologists from the eight University Hospitals are asked about their postnatal follow-up strategies of babies with prenatal detected hydronephrosis. Results 22 Dutch PNDT Centres returned the questionnaire (65%). Of these centres 77% consider an A-P diameter of the renal pelvis At 32 weeks of pregnancy 68% consider an A-P diameter of the renal pelvis Ultrasound of the kidneys and bladder, voiding cystography, renography are considered the standard diagnostic tools for follow-up. There is a wide variation in timing of and indication for the different investigations. All paediatric nephrologists and urologists prescribe antibiotic prophylaxis until definitive diagnosis is made. Cut-off value A-P diameter renal pelvis PNDT Centres 20 weeks 30 weeks 5 mm 17/22 (77%) 5/22 (23%) 6 mm 3/22 (14%) 1/22 (4,5%) 7 mm 1/22 (4,5%) 8 mm 1/22 (4,5%) 10 mm 15/22 (68%) 20 mm 1/22 (4,5 %) Conclusions There still is a debate about the significance of prenatally detected hydronephrosis. Prospective studies are needed to determine accurate follow-up protocols and cut-off values. This is important for the selection of those babies who will need medical care and to prevent unnecessary interventions for the babies not at risk for serous pathology." @default.
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- W2047838127 date "2009-04-01" @default.
- W2047838127 modified "2023-09-25" @default.
- W2047838127 title "Evaluation of Daily Practice in the Netherlands Concerning Prenatal Hydronephrosis" @default.
- W2047838127 doi "https://doi.org/10.1016/j.jpurol.2009.02.099" @default.
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