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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 1997  |  Volume : 2  |  Issue : 4  |  Page : 115-118

Antenatally detected hydronephrosis, do all resolve ?


Department of Pediatric Surgery, BJ Wadia Hospital for Children, Parel, Mumbai-400012

Correspondence Address:
IV Meisheri
Department of Pediatric Surgery, BJ Wadia Hospital for Children, Parel, Mumbai-400012

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Source of Support: None, Conflict of Interest: None


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ABSTRACT: Thirty-four fetuses (37 units) were diagnosed to have unilateral or bilateral hydronephrosis. They were followed up postnatally with a standard protocol which we have devised for our patients' need. They were followed up with serial sonography and DTPA renal scan to study any deterioration in function. Safe time for surgery was found to be around 6 months of age. Early surgery was performed in 7 patients, for one side in 3 cases of bilateral disease, the rest for either DTPA scan function less than 25 percent or deteriorating function on serial scan. Three cases of congenital hydronephrosis resolve spontaneously and six cases turned out to be multicystic kidneys. We do not advocate any antenatal interventions.






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