The Fate of Prenatally Diagnosed Primary Nonrefluxing Megaureter: Do We Have Reliable Predictors for Spontaneous Resolution?

Objectives To compare predictive values of current morphologic parameters with congenital renal damage associated with severe megaureter. Methods A retrospective analysis was performed using records of 37 patients (50 megaureters) referred before birth for a primary megaureter. Mean follow-up was 26...

Full description

Saved in:
Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2008-08, Vol.72 (2), p.309-312
Main Authors: Calisti, Alessandro, Oriolo, Lucia, Perrotta, Maria Luisa, Spagnol, Lorna, Fabbri, Romano
Format: Article
Language:English
Subjects:
Biological and medical sciences
Female
Humans
Male
Malformations of the urinary system
Medical sciences
Nephrology. Urinary tract diseases
Predictive Value of Tests
Retrospective Studies
Severity of Illness Index
Ultrasonography, Prenatal
Ureter - abnormalities
Ureter - diagnostic imaging
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives To compare predictive values of current morphologic parameters with congenital renal damage associated with severe megaureter. Methods A retrospective analysis was performed using records of 37 patients (50 megaureters) referred before birth for a primary megaureter. Mean follow-up was 26 months (range, 1 to 8 years). Results Dilatation resolved spontaneously in 46 of 50 ureters. Only 4 of 37 patients required surgery (10.8%) after a mean follow-up of 58 months (range, 32 to 80 months). Average time to resolution was 24 months (range, 1 to 82 months) and was independent from sex, side, and bilaterality. A weak correlation was found with initial anteroposterior pelvic diameter, ureteral diameter, and separate function at renogram. A significant correlation ( P
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2008.02.032