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- W2755032372 abstract "The aim of the paper is to evaluate the antenatal and postnatal evolution of congenital renal pelvis dilatation (RPD) by ultrasound (US) assessment confined to renal pelvis, calyces and ureters. Retrospective multicenter study that includes three tertiary care reference centres on a period of 2 years. The study includes 87 singleton pregnancies diagnosed with pyelectasis, pelvipielectasis, pelvicaliectasis or hydronephrosis. The renal pelvis has been measured anterior to posterior in the transverse plane. The thresholds used to diagnose dilatation have been 4 mm in the second trimester and 7 mm in the third trimester. Antenatal hydronephrosis was classified into first degree/ mild (4-7 mm - 2nd trimester, 7-9 mm - 3rd trimester), second degree/ moderate (7-10 mm - 2nd trimester, 9-15 mm - 3rd trimester) and third degree/ severe (>10mm - 2nd trimester, > 15 mm - 3rd trimester). Mean gestational age at diagnosis was 26.5 +/- 6.3 weeks. Prenatal diagnosis consisted of isolated hydronephrosis 80.45% (n=70), ureteropelvic junction obstruction 5.74% (n=5), vesicoureteral reflux 3.44% (n=3), duplex renal system 2.29 (n=2), incomplete obstruction of the posterior urethral valves 1.14% (n=1), hydronephrosis associated with ureterohydronephrosis 6.89 (n=6). Severe renal disease at birth is significantly correlated with renal pelvis dilatation at the last scan. A favourable outcome is predicted by the absence of associated urinary tract anomalies and is supported by a renal pelvis AP diameter < 9 mm at the last scan in the third trimester. The need for postnatal surgery significantly increases with the severity of hydronephrosis. The risk of postnatal unfavourable outcome increases significantly with the degree of prenatal hydronephrosis. Increased renal pelvis diameter and the presence of associated urinary tract anomalies are suggestive for significant neonatal nephro-uropathy and need for postnatal surgery." @default.
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- W2755032372 date "2017-09-01" @default.
- W2755032372 modified "2023-10-18" @default.
- W2755032372 title "EP12.20: Evaluation, natural history and fetal outcome in renal pelvis dilatation" @default.
- W2755032372 doi "https://doi.org/10.1002/uog.18490" @default.
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