6533b824fe1ef96bd12801dd
RESEARCH PRODUCT
Sonographic biometry in obstructive uropathy of children: preoperative diagnosis and postoperative monitoring.
Christine NeyE. DinkelD. WeitzelHelmut PetersDittrich MGerhard AlzenHermann Schulte-wissermannPeter H. Walzsubject
Malemedicine.medical_specialtyAdolescentUrologyHydronephrosisurologic and male genital diseasesVesicoureteral refluxPreoperative CaremedicineHumansRadiology Nuclear Medicine and imagingChildHydronephrosisObstructive uropathyUltrasonographyPostoperative CareVesico-Ureteral Refluxbusiness.industryGenitourinary systemUltrasoundInfant NewbornInfantmedicine.diseaseSurgerymedicine.anatomical_structureChild PreschoolFemalebusinessUrinary tract obstructionRenal pelvisKidney diseaseUreteral Obstructiondescription
Renal sonography was performed in 92 children with obstructive uropathy or vesicoureteral reflux preoperatively and at follow-up. Renal volume and the anteroposterior diameter of the renal pelvis proved to be the most reliable morphometric criteria for objective sonographic staging and follow-up of urinary tract obstruction. If transient obstruction occurred after uncomplicated antireflux ureterovesico-plasties (n = 41), it lasted at most 4 weeks. Kidneys with transient postoperative ureterovesical junction obstruction (n = 21) reverted to normal sonographic pattern within 4 weeks following ureteral reimplantation. In cases of ureteropelvic junction obstruction (n = 30), it took up to 6 months for the majority of kidneys to present almost normal sonographic findings. Sonographic biometry and the knowledge about the uncomplicated postoperative course render postsurgical monitoring easier and more reliable.
year | journal | country | edition | language |
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1985-12-01 | Urologic radiology |