Ultrasound evaluation of prognosis in fetuses with posterior urethral valves

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBERNARDES, Lisandra Stein
dc.contributor.authorSALOMON, Remi
dc.contributor.authorAKSNES, Gunnar
dc.contributor.authorLORTAT-JACOB, Stephen
dc.contributor.authorBENACHI, Alexandra
dc.date.accessioned2017-11-27T16:38:48Z
dc.date.available2017-11-27T16:38:48Z
dc.date.issued2011
dc.description.abstractPurpose: The aim of this study was to evaluate the ability of prenatal ultrasound markers to predict postnatal renal prognosis in fetuses with posterior urethral valves. Methods: Medical files on fetuses with prenatal diagnosis of posterior urethral valves from 2000 to 2006 were reviewed retrospectively. Data from prenatal follow-up included gestational age at diagnosis, ultrasound renal parenchyma evaluation, and presence and time of oligohydramnios onset. Prenatal parameters studied were correlated to postnatal renal function. Results: Thirty-one male fetuses were included. Six pregnancies were terminated. Of the remaining 25 pregnancies that were continued, 4 children had abnormal creatine and 21 normal creatinine levels at follow-up. Presence and time of oligohydramnios onset did not differ between groups (P = .43). Ultrasound detected bilateral renal abnormalities in 3 fetuses (75%) with altered renal function, and 10 fetuses (55%) with normal creatinine, at follow-up. Conclusions: None of the ultrasound parameters evaluated were able to reliably predict postnatal renal function.
dc.description.indexMEDLINE
dc.identifier.citationJOURNAL OF PEDIATRIC SURGERY, v.46, n.7, p.1412-1418, 2011
dc.identifier.doi10.1016/j.jpedsurg.2010.12.010
dc.identifier.issn0022-3468
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/23768
dc.language.isoeng
dc.publisherW B SAUNDERS CO-ELSEVIER INC
dc.relation.ispartofJournal of Pediatric Surgery
dc.rightsrestrictedAccess
dc.rights.holderCopyright W B SAUNDERS CO-ELSEVIER INC
dc.subjectPosterior urethral valves
dc.subjectPrenatal
dc.subjectUltrasound
dc.subjectRenal function
dc.subject.otherpostnatal renal-function
dc.subject.otherfetal obstructive uropathies
dc.subject.otherurinary-tract obstruction
dc.subject.othercongenital hydronephrosis
dc.subject.otherbiochemistry
dc.subject.otherabnormalities
dc.subject.otherurinalysis
dc.subject.otherprediction
dc.subject.othermanagement
dc.subject.otherdiagnosis
dc.subject.wosPediatrics
dc.subject.wosSurgery
dc.titleUltrasound evaluation of prognosis in fetuses with posterior urethral valves
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countryisofr
hcfmusp.author.externalSALOMON, Remi:Univ Paris 05, Hop Necker Enfants Malad, APHP, Serv Nephrol Pediat, Paris, France
hcfmusp.author.externalAKSNES, Gunnar:Univ Paris 05, Hop Necker Enfants Malad, APHP, Serv Chirurg Pediat, Paris, France
hcfmusp.author.externalLORTAT-JACOB, Stephen:Univ Paris 05, Hop Necker Enfants Malad, APHP, Serv Chirurg Pediat, Paris, France
hcfmusp.citation.scopus24
hcfmusp.contributor.author-fmusphcLISANDRA STEIN BERNARDES CIAMPI DE ANDRADE
hcfmusp.description.beginpage1412
hcfmusp.description.endpage1418
hcfmusp.description.issue7
hcfmusp.description.volume46
hcfmusp.origemWOS
hcfmusp.origem.pubmed21763844
hcfmusp.origem.scopus2-s2.0-79960445292
hcfmusp.origem.wosWOS:000292882000027
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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