Significance of Postnatal Follow-up of Infants with Vesicoureteral Reflux Having Antenatal Hydronephrosis

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dc.contributor.authorKangin, Murat
dc.contributor.authorAksu, Nejat
dc.contributor.authorYavascan, Onder
dc.contributor.authorAnil, Murat
dc.contributor.authorKara, Orhan Deniz
dc.contributor.authorBal, Alkan
dc.contributor.authorKamit, Fulya
dc.date.accessioned2019-10-27T21:28:53Z
dc.date.available2019-10-27T21:28:53Z
dc.date.issued2010
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: To evaluate the frequency of urinary tract infections (UTIs) and degree of renal parenchymal damage as well as the parameters of growth, development and nutritional status in antenatal hydronephrosis cases with vesicoureteral reflux (VUR). Methods: Infants, whose antenatal ultrasonography (US) showed a fetal renal pelvic diameter of 5 mm or greater were investigated. Of the 277 infants with antenatal HN, 36 [56 renal units (RUs)] were diagnosed with VUR. All cases with VUR were evaluated in terms of the frequency of UTIs, scars appearing on (99m)Technetium-dimercaptosuccinic acid scan (DMSA), growth and development [height and weight standard deviation scores (HSDS and WSDS)], and nutritional status [relative weight (RW)]. Statistical evaluation was performed using the Chi-squared test. Findings: Of these 36 patients with VUR, 25 (69.4%) were males and 11 (30.6%) females. Of the 56 RUs, 48 (85.7%) had severe VUR Grade III). The mean duration of postnatal follow-up was 37.8 +/- 24.50 months. The annual UTI frequency was found to be 1.25 +/- 0.83 episodes/year. Of these 36 infants, 32 (88.8%) recovered from VUR following either medical (17 patients, 47.2%) or surgical (15 patients, 41.6%) treatment. The initial DMSA showed parenchymal defects in 16 (44.4%) RUs, and 4 RUs showed recovery in the final DMSA. Although statistically insignificant (P>0.05), initial growth and development (HSDS: -0.17 +/- 0.86; WSDS: 0.00 +/- 0.14) and nutritional status (RW: 98.19 +/- 8.81) values gradually improved (0.05 +/- 1.06, 0.06 +/- 1.071 and 101.97 +/- 14.85, respectively). Conclusion: Postnatal early diagnosis and appropriate management of VUR in infants with antenatal hydronephrosis can prevent the occurrence of frequent UTIs, renal scarring and malnutrition, enabling normal growth and development.en_US
dc.identifier.endpage434en_US
dc.identifier.issn2008-2142
dc.identifier.issue4en_US
dc.identifier.pmid23056742en_US
dc.identifier.startpage427en_US
dc.identifier.urihttps://hdl.handle.net/11454/45232
dc.identifier.volume20en_US
dc.identifier.wosWOS:000286175900007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherIranian Scientific Society Medical Entomologyen_US
dc.relation.ispartofIranian Journal of Pediatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAntenatal hydronephrosisen_US
dc.subjectVesicoureteral refluxen_US
dc.subjectUrinary tract infectionsen_US
dc.subjectInfanten_US
dc.titleSignificance of Postnatal Follow-up of Infants with Vesicoureteral Reflux Having Antenatal Hydronephrosisen_US
dc.typeArticleen_US

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