Is it Always Necessary to Treat an Asymptomatic Hydronephrosis Due to Ureteropelvic Junction Obstruction?

被引:8
作者
Sarin, Yogesh Kumar [1 ,2 ]
机构
[1] Maulana Azad Med Coll, Dept Pediat Surg, New Delhi 110002, India
[2] Associated Lok Nayak Hosp, New Delhi 110002, India
关键词
Unilateralhydronephrosis; Ureteropelvicjunction obstruction; Pyeloplasty; Ultrasonography; Renal scintigraphy; Diuretic renography; Society for FetalUrology grading; Resistive index; Plasma renin activity; Urinary biomarkers; PRENATALLY DIAGNOSED HYDRONEPHROSIS; FOR-FETAL-UROLOGY; RENAL-FUNCTION; UNILATERAL HYDRONEPHROSIS; FOLLOW-UP; NEONATAL HYDRONEPHROSIS; DIFFERENTIAL FUNCTION; THERAPEUTIC STRATEGY; DIURESIS RENOGRAPHY; URINARY-TRACT;
D O I
10.1007/s12098-017-2346-9
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The postnatal treatment of asymptomatic unilateral hydronephrosis due to ureteropelvic junction obstruction remains controversial, and the timing of and indications for surgical intervention are continuously debated. There is no consensus on the best follow-up during expectant management. The various modalities and parameters have been discussed along with their pros and cons and an attempt has been made to clear up the controversies.
引用
收藏
页码:531 / 539
页数:9
相关论文
共 54 条
  • [1] Predictors for the need of surgery in antenatally detected hydronephrosis due to UPJ obstruction - A prospective multivariate analysis
    Arora, S.
    Yadav, P.
    Kumar, M.
    Singh, S. Kumar
    Sureka, S. Kumar
    Mittal, V.
    Ansari, M. S.
    [J]. JOURNAL OF PEDIATRIC UROLOGY, 2015, 11 (05) : 248.e1 - 248.e5
  • [2] Pelvis/cortex ratio: A sonographic marker of pelvi ureteric junction obstruction in children
    Babu, Ramesh
    Sai, Venkata
    [J]. INDIAN JOURNAL OF UROLOGY, 2010, 26 (04) : 494 - 496
  • [3] Prenatally diagnosed unilateral hydronephrosis: Prognostic significance of plasma renin activity
    Bajpai, Minu
    Bal, C. S.
    Tripathi, M.
    Kalaivani, M.
    Gupta, Arun K.
    [J]. JOURNAL OF UROLOGY, 2007, 178 (06) : 2580 - 2584
  • [4] Boubaker A, 2003, UROLOGY, V61, P1224, DOI 10.1016/S0090-4295(03)00233-4
  • [5] MANAGING APPARENT URETEROPELVIC JUNCTION OBSTRUCTION IN THE NEWBORN
    CARTWRIGHT, PC
    DUCKETT, JW
    KEATING, MA
    SNYDER, HM
    ESCALA, J
    BLYTH, B
    HEYMAN, S
    [J]. JOURNAL OF UROLOGY, 1992, 148 (04) : 1224 - 1228
  • [6] Chertin B, 2006, EUR UROL, V49, P734, DOI 10.1016/j.eururo.2006.01.046
  • [7] Does delaying pyeloplasty affect renal function in children with a prenatal diagnosis of pelvi-ureteric junction obstruction?
    Chertin, B
    Rolle, U
    Farkas, A
    Puri, P
    [J]. BJU INTERNATIONAL, 2002, 90 (01) : 72 - 75
  • [8] Factors associated with the outcomes of children with unilateral ureteropelvic junction obstruction
    Chiou, YY
    Chiu, NT
    Wang, ST
    Cheng, HL
    Tang, MJ
    [J]. JOURNAL OF UROLOGY, 2004, 171 (01) : 397 - 402
  • [9] Factors Predicting Improvement of Renal Function After Pyeloplasty in Pediatric Patients: A Prospective Study
    Chipde, Saurabh S.
    Lal, Hira
    Gambhir, S.
    Kumar, Jatinder
    Srivastava, Aneesh
    Kapoor, Rakesh
    Ansari, M. S.
    [J]. JOURNAL OF UROLOGY, 2012, 188 (01) : 262 - 265
  • [10] CONWAY J, 1992, J NUCL MED, V33, P2047