Swiss Consensus on Prenatal and Early Postnatal Urinary Tract Dilation: Practical Approach and When to Refer.
Détails
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_27F996F77EDD
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Swiss Consensus on Prenatal and Early Postnatal Urinary Tract Dilation: Practical Approach and When to Refer.
Périodique
Children
ISSN
2227-9067 (Print)
ISSN-L
2227-9067
Statut éditorial
Publié
Date de publication
23/12/2024
Peer-reviewed
Oui
Volume
11
Numéro
12
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Publication Status: epublish
Résumé
Urinary tract dilations (UTDs) are the most frequent prenatal renal anomaly. The spectrum of etiologies causing UTD ranges from mild spontaneously resolving obstruction to severe upper and lower urinary tract obstruction or reflux. The early recognition and management of these anomalies allows for improved renal endowment prenatally and ultimately better outcome for the child. The role of the general obstetrician and pediatrician is to recognize potential prenatal and postnatal cases addressed to their practice and to refer patients to specialized pediatric nephrology and urology centers with a sense of the urgency of such a referral. The aim of this paper is to offer clinical recommendations to clinicians regarding the management of neonates and children born with prenatally detected UTD, based on a consensus between Swiss pediatric nephrology centers. The aim is to give suggestions and recommendations based on the currently available literature regarding classifications and definitions of prenatal and postnatal UTD, etiologies, prenatal and postnatal renal function evaluation, investigations, antibiotic prophylaxis, and the need for referral to a pediatric nephrologist and/or urologist. The overarching goal of a systematic approach to UTD is to ultimately optimize kidney health during childhood and improve long-term renal function prognosis.
Mots-clé
Vcug, megaureter, posterior urethral valves, postnatal urinary tract dilatation, prenatal diagnosis, ultrasound, ureteropelvic junction obstruction, urinary tract dilation, vesicoureteric reflux, VCUG
Pubmed
Web of science
Open Access
Oui
Création de la notice
10/01/2025 15:41
Dernière modification de la notice
21/01/2025 7:10