Prenatal diagnosis of urinary track defects
Abstract
Congenital malformations are the main cause of miscarriage, perinatal mortality and disability among children. According to Polish Registry of Congenital Malformations for 2005-2006 congenital disorders affect 2.0-4.0% of newborns. Heart defects, musculoskeletal abnormalities and urinary track defects are the most common.
Purpose
The article aims to shortly describe characteristic ultrasound findings concerning certain urinary tract defects.
Brief description
Renal abnormalities result from complexity of kidneys embriogenesis.
Obligatory ultrasound screenings during pregnancy enable early prenatal diagnosis of urinary track defects and it is helpful for planning postnatal or prenatal treatment.
Oligohydramos is characteristic for urinary tract congenital disorders. Lack of renal parenchyma, increased echogenicity of renal parenchyma, difficulties in bladder visualisation, cysts within kidneys, hydronephrosis always indicate abnormalities concerning urinary track.
Visualisation of urinary track defect obligate further screening for accompanying abnormalities. Sequence of defects, plural abnormalities are indications for genetic evaluation in referral medical centers.
Postnatal treatment of congenial urinary track disorders include watchful observation, early surgical treatment or palliative care. The prognosis depends on the type of defect and accompanied anomalies.
Summary/conclusion
Urinary track defects in prenatal period are very common. Every child suspected for urinary track defect requires detailed evaluation in referral medical center including echocardiography and assessment of karyotype.
Keywords
Full Text:
PDFReferences
Zespół Polskiego Rejestru Wrodzonych Wad Rozwojowych. Wrodzone wady rozwojowe w Polsce w latach 2005-2006 Dane z Polskiego Rejestru Wrodzonych Wad Rozwojowych: [monograph on the Internet], Latos-Bieleńska A, Materna-Kiryluk A, editors. Poznań: Wydawnictwo Naukowe Uniwersytetu Medycznego im. Karola Marcinkowskiego; c2010 [cited 2019 Feb 1]. Avaliable from: http://www.rejestrwad.pl/str.php?13.
Wein JA, Kavoussi LR, Partin AW, Peters CA editors. Campbell-Walsh Urology. 11th ed. Philadelphia: Elsevier; 2016
Green JJ, Hobbins JC. Abdominal ultrasound examination of the first trimester fetus. Am J Obstet Gynecol. 1988;159:165-175. PubMed PMID: 3293446
Respondek-Liberska M. Diagnostyka Prenatalna USG/ECHO Wady wymagające interwencji chirurgicznej. Warszawa: Wydawnictwo Lekarskie PZWL; 2016
Ustawa z dnia 7 stycznia 1993 r. o planowaniu rodziny, ochronie płodu ludzkiego i warunkach dopuszczalności przerywania ciąży. (Dz.U. 1993 nr 17, poz. 78)
Niamien-Attai C, Bacchetta J, Ranchin B, Sanlaville D, Cochat P. Renal abnormalities in Down syndrome: A review. Arch Pediatr. 2017; 24: 1013-1018. PubMed PMID: 28893484
Deshpande R, Hennekam CM. Genetic syndromes and prenatally detected renal anomalies. Semin Fetal Neonatal Med. 2008; 13: 171-180. PubMed PMID: 18162447
Lippe B, Geffner ME, Dietrich RB, Boechat MI, Kangarloo H. Renal malformations in patients with Turner syndrome: imaging in 141 patients. Pediatrics 1988; 82:852-856. PubMed PMID: 3054787
Kujat A, Schulz MD, Strenge S, Froster UG. Renal malformationsin deletion 22q11.2 patients. Am J Med Genet. 2006; 140: 1601-1602. PubMed PMID: 16761295
Kelley R, Hennekam R. The Smith-Lemli-Opitz syndrome. J Med Genet. 2000; 37:321-335. PubMed PMID: 10807690
Hartill V, Szymanska K, Sharif SM, Wheway G, Johnson CA. Meckel–Gruber Syndrome: An Update on Diagnosis, Clinical Management and Research Advances. Front Pediatr. 2017; 5:244. PubMed PMID: 29209597
George L, Manimtim WM, Sharma J. A Singleton Infant with Bilateral Renal Agenesis and Normal Pulmonary Function. Case Rep Pediatr. 2017; 2017. PubMed PMID: 29279782
Polskie Towarzystwo Nefrologii Dziecięcej. Postępowanie z noworodkiem i niemowlęciem z prenatalnym podejrzeniem wady wrodzonej układu moczowego [monograph on the Internet]. Tkaczyk M editor. Łódź: PTNF; 2009 [cited 2019 Feb 19]. Avaliable from: http://ptnfd.org/zalecenia/postepowanie-z-noworodkiem-i-niemowleciem-z-prenatalnym-podejrzeniem-wady-wrodzonej-ukladu-moczowego/
Poltransplant biuletyn informacyjny: [monograph on the Internet], Czerwiński J, editor. Warszawa: Centrum Organizacyjno-Koordynacyjne ds. Transplantacji Poltransplant; 2018 [cited 2019 Feb 15]. Avaliable from: http://www.poltransplant.org.pl/
Smith-Harrison LI, Hougen HY, Timberlake MD, Corbett ST. Current applications of in utero intervention for lower urinary tract obstruction. J Pediatr Urol. 2015; 11:341-347. PubMed PMID: 26441047
Morris RK, Malin GL, Khan KS, Kilby MD. Systematic review of the effectiveness of antenatal intervention for the treatment of congenital lower urinary tract obstruction. BJOG. 2010; 117: 382-390. PubMed PMID: 20374578
Kaneyama K, Yamataka A, Satake S, Yanai T, Lane GJ, Kaneko K, et al. Associated urologic anomalies in children with solitary kidney. J Pediatr Surg. 2004; 39:85-87. PubMed PMID: 14694378
DOI: http://dx.doi.org/10.5281/zenodo.3245407
Refbacks
- There are currently no refbacks.
Copyright (c) 2019 © The Author(s)

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Journal of Education, Health and Sport formerly Journal of Health Sciences
Declaration on the original version.
Editors indicates that the main version of the magazine is to issue a "electronic".
The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.
1223 Journal of Education, Health and Sport eISSN 2391-8306 7
ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X
Archives 2011 - 2014
PBN 2011 - 2014
https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616
POL-index 2011 - 2014
https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655
BASE 2011 - 2014
http://elibrary.ru/contents.asp?titleid=37467
http://journal.rsw.edu.pl/index.php/JHS/issue/archive
Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska
US NLM = 101679844
101679844 - NLM Catalog Result - NCBI
https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844
Find a library that holds this journal: http://worldcat.org/issn/23918306
Journal Language(s): English
PBN Poland
https://pbn.nauka.gov.pl/sedno-webapp/journals/49068
POL-index
https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4
BASE
Redaction, Publisher and Editorial Office
Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 www.ukw.edu.pl Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy http://ojs.ukw.edu.pl/index.php/johs Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X
The journal has been approved for inclusion in ERIH PLUS.
The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984
SIC Science citation index (calculated on the basis of TCI and Page Rank) 0
Russian Impact factor 0.16
Indexed in Index Copernicus Journals Master List.
http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html
ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 2011: 5.48
The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.
Website: www.infobaseindex.com
Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)
Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)
is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.
Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467
Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski
(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)