The Course of Congenital Hydronephrosis in Infancy

dc.contributor.authorTursun, Serkan
dc.contributor.authorAlpcan, Ayşegül
dc.contributor.authorKandur, Yaşar
dc.contributor.authorAcar, Banu Celıkel
dc.date.accessioned2025-01-21T16:12:41Z
dc.date.available2025-01-21T16:12:41Z
dc.date.issued2021
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: The aim of our study is to examine the spontaneous resolution rates of congenital hydronephrosis from a recent perspective. Material and Methods: Sixty-nine pediatric patients (M/F=46/23) with congenital hydronephrosis were enrolled in this study. Results: The mean age at the first postnatal examination was 10.8±7.6 days, and the mean age at the time of the final examination was 9.5±3.2 months. Forty-eight patients’ renal anteroposterior diameters (APD) (69.5%) improved while 8 (11.6%) patients’ APDs worsened during the follow-up period. However, MAG3 of these 8 patients was normal. The remaining thirteen (18.9%) patients had congenital anomalies of the kidney and the urinary tract (8 vesicoureteral reflux, 5 cases of ureteropelvic junction obstruction). The mean baseline APD was 9.1±2.8 mm in the group with reduced APD, and 9.7±2.8 mm in the one with increased APD (p=0.461). The mean APD at the final visit was significantly lower in the group with reduced APD than that in the group with increased APD (5.1±1.8 mm vs 17.9±12.6 mm; p=0.001). The anteroposterior diameter of 26 (81.25%) patients with left-sided hydronephrosis and 10 (71.4%) patients with right- sided hydronephrosis regressed spontaneously. The rate of spontaneous resolution was relatively low in patients with bilateral hydronephrosis (n=13; 56.5%) compared to unilateral ones. Conclusion: Our study indicates that an initially mild hydronephrosis does not exclude a pathological course in cases of congenital hyronephrosis. Therefore, in such patients, routine ultrasonography should be done regularly.
dc.identifier.doi10.12956/tchd.846393
dc.identifier.endpage225
dc.identifier.issn1307-4490
dc.identifier.issn2148-3566
dc.identifier.issue3
dc.identifier.startpage222
dc.identifier.trdizinid1194752
dc.identifier.urihttps://doi.org/10.12956/tchd.846393
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1194752
dc.identifier.urihttps://hdl.handle.net/20.500.12587/21755
dc.identifier.volume15
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofTürkiye Çocuk Hastalıkları Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectKadın Hastalıkları ve Doğum
dc.subjectKulak
dc.subjectBurun
dc.subjectBoğaz
dc.subjectGöz Hastalıkları
dc.subjectSağlık Bilimleri ve Hizmetleri
dc.subjectPediatri
dc.titleThe Course of Congenital Hydronephrosis in Infancy
dc.typeArticle

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