PRENATAL-DIAGNOSIS OF THE MEGACYSTIS-MEGAURETER ASSOCIATION

被引:23
作者
MANDELL, J
LEBOWITZ, RL
PETERS, CA
ESTROFF, JA
RETIK, AB
BENACERRAF, BR
机构
[1] CHILDRENS HOSP MED CTR,DEPT RADIOL,BOSTON,MA 02115
[2] BRIGHAM & WOMENS HOSP,DEPT RADIOL,BOSTON,MA 02115
[3] BRIGHAM & WOMENS HOSP,DEPT OBSTET & GYNECOL,BOSTON,MA 02115
关键词
ABNORMALITIES; PRENATAL DIAGNOSIS; BLADDER; URETER; ULTRASONIC DIAGNOSIS;
D O I
10.1016/S0022-5347(17)36945-8
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
A total of 11 male neonates with hydronephrosis and a large bladder in utero had the megacystis-megaureter association. Prenatal ultrasound findings included bilateral hydroureteronephrosis; a large, smooth, thin-walled bladder, and normal volume of amniotic fluid. Postnatal studies demonstrated grades 4 to 5 bilateral reflux, a large bladder without obstruction and in 2 infants non-function of a kidney or renal moiety. Of 7 infants initially managed nonoperatively 5 have undergone surgery due to persistent reflux or breakthrough urinary infections. The prenatal diagnosis of the megacystis-megaureter association can be suspected with reasonable accuracy. Prompt postnatal continuous antibiotic prophylaxis and uroradiological confirmation allow for nonemergency management of this condition with excellent results.
引用
收藏
页码:1487 / 1489
页数:3
相关论文
共 7 条
[1]   FEATURES OF PRIMARY VESICOURETERAL REFLUX DETECTED BY PRENATAL SONOGRAPHY [J].
ANDERSON, PAM ;
RICKWOOD, AMK .
BRITISH JOURNAL OF UROLOGY, 1991, 67 (03) :267-271
[2]   PRENATALLY DIAGNOSED REFLUX - A FOLLOW-UP-STUDY [J].
GORDON, AC ;
THOMAS, DFM ;
ARTHUR, RJ ;
IRVING, HC ;
SMITH, SEW .
BRITISH JOURNAL OF UROLOGY, 1990, 65 (04) :407-412
[3]   FETAL VESICOURETERAL REFLUX [J].
NAJMALDIN, A ;
BURGE, DM ;
ATWELL, JD .
BRITISH JOURNAL OF UROLOGY, 1990, 65 (04) :403-406
[4]   NEONATAL HYDRONEPHROSIS DUE TO PRIMARY VESICOURETERAL REFLUX - TRENDS IN DIAGNOSIS AND TREATMENT [J].
PALTIEL, HJ ;
LEBOWITZ, RL .
RADIOLOGY, 1989, 170 (03) :787-789
[5]   FETAL URETERAL REFLUX [J].
SCOTT, JES .
BRITISH JOURNAL OF UROLOGY, 1987, 59 (04) :291-296
[6]   SO-CALLED MEGAURETER-MEGACYSTIS SYNDROME [J].
WILLI, UV ;
LEBOWITZ, RL .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1979, 133 (03) :409-416
[7]  
WILLIAMS DI, 1954, ANN ROY COLL SURG, V14, P107