Antenatal diagnosis of renal tract anomalies: has it increased the sum of human happiness?
When used as a screening procedure, ultrasound examination of the fetal urinary tract seldom leads to beneficial interventions. There is also a cost in terms of parental anxiety and unnecessary investigation and treatment. A formal screening programme would therefore be unjustified. However, screening of women for obstetric purposes will continue to reveal fetal abnormalities, and a strategy for dealing with these is needed. Antenatal treatments remain experimental; for most of the common conditions postnatal treatment has no urgency; and, in cases of minor abnormality detected by ultrasound, the best course may be to do nothing.
Malone
P S
PS
Department of Paediatric Nephrourology, Southampton General Hospital, England.
D005260:Female; D006801:Humans; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D015203:Reproducibility of Results; D016216:Ultrasonography, Prenatal; D014551:Urinary Tract / Q000002:abnormalities* / Q000000981:diagnostic imaging