title: [Preliminary results of a program for the early management of children with congenital hydronephrosis].
abstract: Antenatal hydronephrosis is one of the most frequently diagnosed congenital abnormalities in the fetus. The aim of the study is to present the preliminary results of a newly launched Pommeranian Program for Early Management of CAKUT in Children.
  
  
  METHODS
  105 neonates and infants with hydronephrosis were assessed between Jan and Dec 2007 (27 girls and 78 boys). All patients had postnatal ultrasound performed. Static and dynamic scyntigraphy and cystography were performed according to set indications. Therapeutic decisions were made following a team meeting between pediatric nephrologists and urologists.
  
  
  RESULTS
  56.2% of children with hydronephrosis had documented prenatal findings: 61%--pyelectasis, 15.3% renal cysts, 5.1% unspecified renal pathology, in 18.6% no renal pathology. 82.6% of newborns had term births but perinatal complications were observed in 30.5%. Initial postnatal diagnosis was performed by neonatal wards in 22.8% newborns and by the children's pediatrician in 31.4% of infants. Following referral to nephro-urology centre cystography was performed in 22.9% of infants and scintigraphy in 36.2%. 21.9% of infants were qualified for surgical intervention at an average age of 24 + 13 weeks.
  
  
  CONCLUSIONS
  1. Only half of the children with congenital hydronephrosis are to nephro-urology care following prenatal diagnosis. 2. A large number of perinatal complications are observed in newborns with prenatally diagnosed hydronephrosis. 3. The management of newborn hydronephrosis requires better cooperation between obstetricians, neonatologists, pediatric nephrologists and urologists.
authors: Medical University of Gdańsk, Department of Pediatric and Adolescent Nephrology and Hypertension. czarniak@amg.gda.pl
authors: Piotr
authors: P
authors: Czarniak
authors: Aleksandra
authors: A
authors: Zurowska
authors: Przemysław
authors: P
authors: Szcześniak
authors: Magdalena
authors: M
authors: Drozyńska-Duklas
authors: Michał
authors: M
authors: Maternik
authors: Andrzej
authors: A
authors: Gołebiewski
authors: Leszek
authors: L
authors: Komasara
authors: Krzysztof
authors: K
authors: Preis
authors: Iwona
authors: I
authors: Domzalska
authors: Alicja
authors: A
authors: Sowa
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000151:congenital* / Q000175:diagnosis* / Q000628:therapy; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D018743:Perinatal Care / Q000458:organization & administration*; D011044:Poland; D011296:Prenatal Diagnosis / Q000379:methods*; D016730:Program Development