AI Article Synopsis
- The study aimed to assess how well prenatal ultrasound markers can predict renal health after birth in fetuses diagnosed with posterior urethral valves.
- Medical records of affected fetuses from 2000 to 2006 were analyzed, focusing on various prenatal factors and their correlation to postnatal kidney function.
- The findings indicated that ultrasound indicators did not effectively determine postnatal renal outcomes, with no significant differences noted between those with normal and abnormal kidney function.
Article Abstract
Purpose: 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.
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| http://dx.doi.org/10.1016/j.jpedsurg.2010.12.010 | DOI Listing |
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