[Fetal obstructive uropathies: prenatal diagnosis, prenatal and postnatal management].
The urinary tract obstruction may depend by: ureteropelvic junction obstruction, vesicoureteric reflux, posterior urethral valves, megacystis-microcolon syndrome. Hydronephrosis accounts for 75% of prenatally diagnosed fetal renal abnormalities with, in many cases, renal dysplasia, oligohydramnios and Potter's sequence. With ultrasound is possible to diagnose most urinary tract obstructions that occurs in 1% of all pregnancy, but only 0.2% have clinical relevance. We have conceived an ultrasonographic protocol to evaluate the renal and urinary tract morphology, the cystis, the amniotic fluid and the external genitalia for a more easy ultrasonographic diagnosis and for the exact pre and postnatal management.
Di Meglio
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Clinica Ostetrica e Ginecologica, Università degli Studi Federico II di Napoli, Italia.
Sica
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Cimmino
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E
Iacono
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AG
D003106:Colon / Q000002:abnormalities*; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis* / Q000628:therapy; D007231:Infant, Newborn; D011247:Pregnancy; D011379:Prognosis; D013577:Syndrome; D016216:Ultrasonography, Prenatal; D014521:Urethra / Q000002:abnormalities*; D001743:Urinary Bladder / Q000002:abnormalities*; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis* / Q000628:therapy