Abstract
Antenatal sonography readily demonstrates both normal and abnormal fetal urinary tract anatomy. Because obstructive genitourinary lesions are common and because sonography is especially accurate for detecting fluid-filled pathologic lesions, careful evaluation of the fetal abdomen reliably detects the vast majority of fetal obstructive uropathic events. Most renal anomalies are incidental findings, however, and are not detected unless images of the kidneys and bladder are carefully obtained. The spectrum of renal pathology seen prenatally is not readily subdivided by pathophysiologic mechanisms.
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