[Comparative characteristics of the course of upper obstructive uropathies diagnosed during the perinatal period].
This study compares two groups of 30 infants each, less than 1 month old. The first group includes neonates with ureteropelvic junction obstruction (UPJO) and the second with primary obstructed megaureter without reflux (POM). Diagnosis was made prenatally in 80% of UPJO and 64% of POM. 19 infants with UPJO and 24 with POM no required immediate surgery but have been just supervised. Contrary to UPJO, even grade III POM can present spontaneous resolution. Radiographic improvement is seen generally from 3d to 4th++ months. Tc-DTPA renal diuretic scan (10 cases) and percutaneous pyelomanometry (4 cases) are more accurate tests for UPJO than for POM.
Aubert
D
D
Unité de Chirurgie viscérale et urinaire, Hôpital Saint-Jacques, Besançon.
Zoupanos
G
G
Destuynder
O
O
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011296:Prenatal Diagnosis; D012075:Remission, Spontaneous; D014463:Ultrasonography; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000503:physiopathology*
Caractères évolutifs comparés des uropathies obstructives hautes dépistées en période périnatale.