Perinatal Diagnosis and Operative Results of Congenital Hydronephrosis in Children

Abstract

Objective:To assess the advantages and necessityof prenatal diagnosis and early treatment for congenital hydronephrosis.Methods:Comparison was made between the postoperative results of 9 prenatal diagnosed congenital hydronephrosis patients and that of 35 postnatal diagnosed cases on the postoperative symptoms,B-uhrasonography,IVU,nuclear scan and the comprehensive assess of kidney function.Results:The follow-up of 9 cases of prenatal diagnosis (average operative age.72 days)showed all getting well except one with bilateral large hydronephrosis still had a small stone in one of the lower calyx.The average operative age of 35postnatal diagnosed cases was 5 years.of them,65.7%were followed-up with abnormal nuclear scan,various degree of acidosis and positive reaction of 5 renal tubule function tests.Conclusions:The prenatal diagnosis of congenital hydronephrosis and early treatment after birth are possible and preferable. Key words: Hydronephrosis; Perinatology; Renal tubular transport; inborn errors