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• W2048299462 abstract "No AccessJournal of UrologyPediatric Urology1 Nov 2012Variations in Management of Mild Prenatal Hydronephrosis Among Maternal-Fetal Medicine Obstetricians, and Pediatric Urologists and Radiologists Vitor C. Zanetta, Brian M. Rosman, Bryan Bromley, Thomas D. Shipp, Jeanne S. Chow, Jeffrey B. Campbell, C.D. Anthony Herndon, Carlo C. Passerotti, Marc Cendron, Alan B. Retik, and Hiep T. Nguyen Vitor C. ZanettaVitor C. Zanetta Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author , Brian M. RosmanBrian M. Rosman Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author , Bryan BromleyBryan Bromley Department of Obstetrics and Gynecology, and Department of Radiology, Brigham and Women's Hospital, and Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts More articles by this author , Thomas D. ShippThomas D. Shipp Department of Obstetrics and Gynecology, and Department of Radiology, Brigham and Women's Hospital, and Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts More articles by this author , Jeanne S. ChowJeanne S. Chow Department of Radiology, Children's Hospital, Boston, Massachusetts More articles by this author , Jeffrey B. CampbellJeffrey B. Campbell Department of Pediatric Urology, Children's Hospital, Aurora, Colorado More articles by this author , C.D. Anthony HerndonC.D. Anthony Herndon Department of Urology, University of Virginia, Charlottesville, Virginia More articles by this author , Carlo C. PasserottiCarlo C. Passerotti Department of Urology, Universidade de São Paulo, São Paulo, Brazil More articles by this author , Marc CendronMarc Cendron Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author , Alan B. RetikAlan B. Retik Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author , and Hiep T. NguyenHiep T. Nguyen Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.07.011AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: There are no current guidelines for diagnosing and managing mild prenatal hydronephrosis. Variations in physician approach make it difficult to analyze outcomes and establish optimal management. We determined the variability of diagnostic approach and management regarding prenatal hydronephrosis among maternal-fetal medicine obstetricians, pediatric urologists and pediatric radiologists. Materials and Methods: Online surveys were sent to mailing lists for national societies for each specialty. Participants were surveyed regarding criteria for diagnosing mild prenatal hydronephrosis and recommendations for postnatal management, including use of antibiotic prophylaxis, followup scheduling and type of followup imaging. Results: A total of 308 maternal-fetal medicine obstetricians, 126 pediatric urologists and 112 pediatric radiologists responded. Pediatric urologists and radiologists were divided between Society for Fetal Urology criteria and use of anteroposterior pelvic diameter for diagnosis, while maternal-fetal medicine obstetricians preferred using the latter. For postnatal evaluation radiologists preferred using personal criteria, while urologists preferred using anteroposterior pelvic diameter or Society for Fetal Urology grading system. There was wide variation in the use of antibiotic prophylaxis among pediatric urologists. Regarding the use of voiding cystourethrography/radionuclide cystography in patients with prenatal hydronephrosis, neither urologists nor radiologists were consistent in their recommendations. Finally, there was no agreement on length of followup for mild prenatal hydronephrosis. Conclusions: We observed a lack of uniformity regarding grading criteria in diagnosing hydronephrosis prenatally and postnatally among maternal-fetal medicine obstetricians, pediatric urologists and pediatric radiologists. There was also a lack of agreement on the management of mild intermittent prenatal hydronephrosis, resulting in these cases being managed inconsistently. A unified set of guidelines for diagnosis, evaluation and management of mild intermittent prenatal hydronephrosis would allow more effective evaluation of outcomes. References 1 : Antenatally detected urinary tract abnormalities: more detection but less action. Pediatr Nephrol2008; 23: 897. 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Google Scholar © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byMelo F, Mak R, Simões e Silva A, Vasconcelos M, Dias C, Rosa L, Shiomatsu G, Storch C, Oliveira M and Oliveira E (2021) Evaluation of Urinary Tract Dilation Classification System for Prediction of Long-Term Outcomes in Isolated Antenatal Hydronephrosis: A Cohort StudyJournal of Urology, VOL. 206, NO. 4, (1022-1030), Online publication date: 1-Oct-2021.Nelson C, Lee R, Trout A, Servaes S, Kraft K, Barnewolt C, Logvinenko T and Chow J (2019) Interobserver and Intra-Observer Reliability of the Urinary Tract Dilation Classification System in Neonates: A Multicenter StudyJournal of Urology, VOL. 201, NO. 6, (1186-1192), Online publication date: 1-Jun-2019.Zareba P, Lorenzo A and Braga L (2014) Risk Factors for Febrile Urinary Tract Infection in Infants with Prenatal Hydronephrosis: Comprehensive Single Center AnalysisJournal of Urology, VOL. 191, NO. 5S, (1614-1619), Online publication date: 1-May-2014.Baskin L (2012) This Month in Pediatric UrologyJournal of Urology, VOL. 188, NO. 5, (1651-1653), Online publication date: 1-Nov-2012. Volume 188Issue 5November 2012Page: 1935-1939 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Keywordsdata collectionprenatal diagnosispyelectasispediatricshydronephrosisMetricsAuthor Information Vitor C. Zanetta Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author Brian M. Rosman Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author Bryan Bromley Department of Obstetrics and Gynecology, and Department of Radiology, Brigham and Women's Hospital, and Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts More articles by this author Thomas D. Shipp Department of Obstetrics and Gynecology, and Department of Radiology, Brigham and Women's Hospital, and Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts More articles by this author Jeanne S. Chow Department of Radiology, Children's Hospital, Boston, Massachusetts More articles by this author Jeffrey B. Campbell Department of Pediatric Urology, Children's Hospital, Aurora, Colorado More articles by this author C.D. Anthony Herndon Department of Urology, University of Virginia, Charlottesville, Virginia More articles by this author Carlo C. Passerotti Department of Urology, Universidade de São Paulo, São Paulo, Brazil More articles by this author Marc Cendron Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author Alan B. Retik Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author Hiep T. Nguyen Department of Urology, Children's Hospital, Boston, Massachusetts More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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