[Treatment of hydronephrosis caused by obstruction of the pyeloureteral junction diagnosed before birth].
From 1981 to 1987, the authors observed 69 patients with ureteropelvic junction obstruction diagnosed by antenatal ultrasound, representing a total of 77 pathological renal units. Seventy renal units were treated by ureteropelvic resection, one renal unit returned to normal without treatment. There were 3 primary nephrectomies and 3 secondary nephrectomies for non-improvement after percutaneous nephrostomy. An early antenatal surgical management of ureteropelvic obstruction after antenatal ultrasound diagnosis does not seem to give better results than when diagnosis is made at a later stage. The interest of the antenatal diagnosis is not as important as for other uropathies such as urecterocele, mega-ureter or posterior urethral valves.
Mollard
P
P
Hôpital Debrousse, Lyon, France.
Gounot
E
E
Pracros
J P
JP
Coicaud
C
C
D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D007231:Infant, Newborn; D007682:Kidney Pelvis / Q000002:abnormalities*; D008297:Male; D011247:Pregnancy; D011296:Prenatal Diagnosis; D011379:Prognosis; D014463:Ultrasonography; D014513:Ureter / Q000002:abnormalities*
Traitement de l'hydronéphrose par obstacle à la jonction pyélo-urétérale diagnostiquée avant la naissance.