Imaging studies in infants and children with dilatation of the upper urinary tract

Koerner, I. and van Gool, J. D. and Ebert, M. and Schneble, F. (2010) Imaging studies in infants and children with dilatation of the upper urinary tract. UROLOGE, 49 (3). 338-+. ISSN 1433-0563,

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Abstract

Prenatally or postnatally diagnosed dilatation of the upper urinary tract initiates postnatal investigations, including sonography, dynamic renography (MAG 3) and optional voiding cystourethrography. The first ultrasound examination should be performed 3-5 days after birth and in urgent cases 10-12 h after delivery of the baby. Dynamic renography (MAG 3) is the standard diagnostic investigation and permits simultaneous assessment of renal perfusion and drainage. MRI combines excellent anatomical detail with functional information, without exposure to radiation but needs general anaesthesia in infants and younger children. Intravenous urography is no longer performed routinely in children with a dilated upper urinary tract. The combination of ultrasound and MAG 3 produces the necessary anatomical and functional information to follow the degree of obstruction and to decide between surgical intervention or a conservative follow-up.

Item Type: Article
Uncontrolled Keywords: POSTNATAL MANAGEMENT; HYDRONEPHROSIS; ULTRASOUND; Dilatation; Upper urinary tract; Ultrasound; Infants; MAG3
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 06 Aug 2020 06:22
Last Modified: 06 Aug 2020 06:22
URI: https://pred.uni-regensburg.de/id/eprint/25137

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