ArticleIndian journal of nephrology2013
Revised guidelines on management of antenatal hydronephrosis.
Article in Indian journal of nephrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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27 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.
- Non-surgical management in children with non-refluxing primary megaureter: a systematic review and meta-analysis.Pediatric nephrology (Berlin, Germany) · 2023Pooled it
- The role of antibiotic prophylaxis in mild to moderate isolated hydronephrosis detected in antenatal screening.Investigative and clinical urology · 2020Trial
- Equitable access to pediatric kidney transplantation: bridging the gap-the view from low- to lower-middle-income countries.Pediatric nephrology (Berlin, Germany) · 2026Review
- Safely limiting the use of antibiotic prophylaxis and invasive testing in asymptomatic children with antenatally detected hydronephrosis.Pediatric nephrology (Berlin, Germany) · 2026Article
- Congenital Anomalies of Kidney and Urinary Tract in Children - Clinical Spectrum and Complications.Indian journal of pediatrics · 2026Article
- Modified Top-Down Approach to Reduce Voiding Cystourethrograms: Diagnostic Accuracy of Late DMSA Scintigraphy and Renal Ultrasound for Predicting Vesicoureteral Reflux in Children > 2 Years. A Retrospective Audit.Indian pediatrics · 2026Article
- Article
- Clinical Characteristics and Outcomes of Children with Unilateral Multicystic Dysplastic Kidney: A Cohort Study.Indian pediatrics · 2025Article
- Impact of antibiotic prophylaxis on urinary tract infection recurrence in children Rapid review.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Review
- Body surface area-based kidney length percentiles misdiagnose small kidneys in children with overweight/obesity.Pediatric nephrology (Berlin, Germany) · 2023Article
- Pelvico-Vesicostomy for Horseshoe Kidney With Severe Right Ureteric Stricture and Bilateral Hydronephrosis.Cureus · 2022Article
- Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams.Scientific reports · 2021Article
- Matrix Remodeling-Associated Protein 5 in Urinary Exosomes as a Potential Novel Marker of Obstructive Nephropathy in Children With Ureteropelvic Junction Obstruction.Frontiers in pediatrics · 2020Article
- Urinary Ultrasound and Other Imaging for Ureteropelvic Junction Type Hydronephrosis (UPJHN).Frontiers in pediatrics · 2020Review
- Prognostic significance of maternal urinary carbohydrate antigen 19-9 for antenatal diagnosis of posterior urethral valve associated with fetal hydronephrosis.International urology and nephrology · 2019Article
- Comparison Characteristics of Family and Demographic of Children with Antenatal Hydronephrosis between 2Iranian journal of public health · 2018Article
- Controversies Regarding Management of Vesico-ureteric Reflux.Indian journal of pediatrics · 2017Review
- Renal development in the fetus and premature infant.Seminars in fetal & neonatal medicine · 2017Review
- Determination of the Need for Surgical Intervention in Infants Diagnosed with Fetal Hydronephrosis in China.Medical science monitor : international medical journal of experimental and clinical research · 2016Article
- Prenatal natural history of isolated fetal mild bilateral pyelectasis.Clinics (Sao Paulo, Brazil) · 2016Article
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7 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Widespread antenatal screening has resulted in increased detection of anomalies of the kidneys and urinary tract. The present guidelines update the recommendations published in 2000. Antenatal hydronephrosis (ANH) is transient and resolves by the third trimester in almost one-half cases. The presence of oligohydramnios and additional renal or extrarenal anomalies suggests significant pathology. All patients with ANH should undergo postnatal ultrasonography; the intensity of subsequent evaluation depends on anteroposterior diameter (APD) of the renal pelvis and/or Society for Fetal Urology (SFU) grading. Patients with postnatal APD exceeding 10 mm and/or SFU grade 3-4 should be screened for upper or lower urinary tract obstruction and vesicoureteric reflux (VUR). Infants with VUR should receive antibiotic prophylaxis through the first year of life, and their parents counseled regarding the risk of urinary tract infections. The management of patients with pelviureteric junction or vesicoureteric junction obstruction depends on clinical features and results of sequential ultrasonography and radionuclide renography. Surgery is considered in patients with increasing renal pelvic APD and/or an obstructed renogram with differential renal function <35-40% or its subsequent decline. Further studies are necessary to clarify the role of prenatal intervention, frequency of follow-up investigations and indications for surgery in these patients.
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