title: Therapeutic approaches and long-term follow-up for prenatal hydronephrosis.
abstract: OBJECTIVE
  This study summarises the outcomes of 149 patients who underwent surgery for antenatally diagnosed unilateral hydronephrosis.
  
  
  METHODS
  The medical records of such patients over a 23-year period were reviewed retrospectively. Age at the time of operation, preoperative and postoperative mean pelvic diameter on ultrasound, split renal function, washout patterns on scintigraphy, and early and late complications were recorded.
  
  
  RESULTS
  The mean preoperative follow-up period was five months (range: 1-66 months). One patient was operated on after 12 months and two patients after five years of follow-up. Mean preoperative pelvic diameter and renal function were 30.8 mm and 38.6%, respectively; all patients had an obstructive wash-out pattern. In the postoperative period, the corresponding measurements were 11.7 mm and 39.2%, with 111 non-obstructive, 24 partially obstructive, and 14 obstructive wash-out patterns. Three patients with severe caliectasis and low renal function underwent surgery despite mild hydronephrosis. The mean postoperative follow-up period was six (range 4-11) years. Complications developed in 14 (9.3%) patients.
  
  
  CONCLUSIONS
  Patients with antenatal hydronephrosis may need surgery even after a follow-up period of six years. Because of the potential late development of complications, postoperative follow-up should be continued for 10 years.
authors.affiliation: Bahattin Aydogdu, M.D. Department of Pediatric Surgery, Kanuni Sultan Suleyman Research and Teaching Hospital, 34303, Istanbul, Turkey.
authors.forename: Bahattin
authors.initials: B
authors.lastname: Aydogdu
authors.affiliation: Gulay Tireli, Associate Professor, Department of Pediatric Surgery, Kanuni Sultan Suleyman Research and Teaching Hospital, 34303, Istanbul, Turkey.
authors.forename: Gulay
authors.initials: G
authors.lastname: Tireli
authors.affiliation: Oyhan Demirali, M.D. Department of Pediatric Surgery, Kanuni Sultan Suleyman Research and Teaching Hospital, 34303, Istanbul, Turkey.
authors.forename: Oyhan
authors.initials: O
authors.lastname: Demirali
authors.affiliation: Unal Guvenc, M.D. Department of Pediatric Surgery, Kanuni Sultan Suleyman Research and Teaching Hospital, 34303, Istanbul, Turkey.
authors.forename: Unal
authors.initials: U
authors.lastname: Guvenc
authors.affiliation: Cemile Besik, M.D. Department of Pediatric Surgery, Kanuni Sultan Suleyman Research and Teaching Hospital, 34303, Istanbul, Turkey.
authors.forename: Cemile
authors.initials: C
authors.lastname: Besik
authors.affiliation: Serdar Sander, Associate Professor, Department of Pediatric Surgery, Kanuni Sultan Suleyman Research and Teaching Hospital, 34303, Istanbul, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Sander
authors.affiliation: Aysel Kiyak, M.D. Department of Pediatric Nephrology, Kanuni Sultan Suleyman Research and Teaching Hospital, 34303, Istanbul, Turkey.
authors.forename: Aysel
authors.initials: A
authors.lastname: Kiyak
keywords: Antenatal; Hydronephrosis; Pyeloplasty; Unilateral