Mahmoud Siefin, T., sallem, E., Morsy, H., Abouzeid, A. (2022). Predictors of postnatal surgical intervention for Antenatally detected Ureteropelvic Junction Obstruction. test, 26(3), 48-56. doi: 10.21608/smj.2022.164261.1345
Tarek Ahmed Mahmoud Siefin; essam sallem; Hany Morsy; Abdelmoneim Abouzeid. "Predictors of postnatal surgical intervention for Antenatally detected Ureteropelvic Junction Obstruction". test, 26, 3, 2022, 48-56. doi: 10.21608/smj.2022.164261.1345
Mahmoud Siefin, T., sallem, E., Morsy, H., Abouzeid, A. (2022). 'Predictors of postnatal surgical intervention for Antenatally detected Ureteropelvic Junction Obstruction', test, 26(3), pp. 48-56. doi: 10.21608/smj.2022.164261.1345
Mahmoud Siefin, T., sallem, E., Morsy, H., Abouzeid, A. Predictors of postnatal surgical intervention for Antenatally detected Ureteropelvic Junction Obstruction. test, 2022; 26(3): 48-56. doi: 10.21608/smj.2022.164261.1345

Predictors of postnatal surgical intervention for Antenatally detected Ureteropelvic Junction Obstruction

Sohag Medical Journal
Volume 26, Issue 3, September 2022, Pages 48-56    PDF (698.78 K)
Document Type: Original Article
DOI: 10.21608/smj.2022.164261.1345
Authors
Tarek Ahmed Mahmoud Siefin* 1; essam sallem2; Hany Morsy3; Abdelmoneim Abouzeid4
1Department of Urology, Faculty of medicine, Sohag University, Sohag, Egypt
2Department of Urology, Faculty of Medicine, Sohag University.
3Department of Urology, Faculty of medicine, Cairo university
4Department of urology, Faculty of medicine, Sohag university
Abstract
Antenatal hydronephrosis is prenatal ultrasonography's most often detected urologic anomaly. Its etiology is quite variable ranging from mild abnormalities of the urinary system such as transient hydronephrosis to more significant ones such as ureteropelvic junction obstruction (UPJO) or high-grade vesicoureteral reflux (VUR). UPJO comprises the most encountered etiology of antenatal hydronephrosis with variable postnatal clinical scenarios ranging from complete resolution to the need for surgical intervention. The therapeutic approach for antenatal hydronephrosis caused by UPJO has undergone a dramatic shift from primary surgical intervention to initial conservation and elective surgery when indicated. Although there is a consensus that sustained increase in the grade of hydronephrosis, significant loss in differential renal function, and the existence of symptoms (such as recurrent UTI, nausea, vomiting, and cyclic flank pain) are reasonable indications of surgical need, precise cutoffs for the previous factors are still debated. This review aims to argue this debate and offer an overview of the antenatal and postnatal evaluation of antenatally detected ureteropelvic junction obstruction.
Keywords
Anteroposterior diameter; Differential renal function; Pyeloplasty
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