Antenatal diagnosis of renal pelvic dilatation--the natural history of conservative management

Pediatr Radiol. 1991;21(4):272-3. doi: 10.1007/BF02018622.

Abstract

Seventy children with an antenatal diagnosis of unilateral renal pelvic dilatation underwent Tc 99 m DTPA diuretic renograms. There were 16 kidneys with moderate function, and 54 with good function, 31 underwent pyeloplasty, all had a renal pelvis greater than 12 mm diameter on ultrasound. Thirty nine children with good function were treated conservatively. Long term follow up has demonstrated that conservative management for PUJ dilatation with a good functioning kidney may be justified but a randomised control study is required.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Dilatation, Pathologic / diagnostic imaging
  • Dilatation, Pathologic / physiopathology
  • Dilatation, Pathologic / surgery
  • Dilatation, Pathologic / therapy
  • Diuresis / physiology
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Kidney Diseases / diagnostic imaging
  • Kidney Diseases / physiopathology
  • Kidney Diseases / surgery
  • Kidney Diseases / therapy
  • Kidney Pelvis / diagnostic imaging
  • Kidney Pelvis / pathology*
  • Kidney Pelvis / physiopathology
  • Kidney Pelvis / surgery
  • Prenatal Diagnosis*
  • Radionuclide Imaging
  • Technetium Tc 99m Pentetate

Substances

  • Technetium Tc 99m Pentetate