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dc.contributor.authorGökaslan, Filiz
dc.contributor.authorYalcinkaya, Fatma Fatos
dc.contributor.authorFitoz, Suat
dc.contributor.authorÖzçakar, Z.Birsin
dc.date.accessioned2020-03-23T11:31:33Z
dc.date.available2020-03-23T11:31:33Z
dc.date.issued2012-06-01
dc.identifier.citationGökaslan F, Yalçınkaya F, Fitöz S, Özçakar ZB. Evaluation and outcome of antenatal hydronephrosis: a prospective study. Ren Fail. 2012;34(6):718-21. doi: 10.3109/0886022X.2012.676492.tr_TR
dc.identifier.urihttps://doi: 10.3109/0886022X.2012.676492tr_TR
dc.identifier.urihttp://hdl.handle.net/20.500.12575/70751
dc.description.abstractAntenatal hydronephrosis (AHN), defined as dilatation of renal pelvis and/or calyces, is the most frequently detected antenatal abnormality. However, postnatal management of AHN is controversial. The purpose of this study was to describe the clinical outcomes of infants with AHN and to contribute to the definition of the postnatal evaluation of these patients. One hundred and thirty-six infants with AHN were prospectively followed up to 18 months. Patients were divided into two groups according to the degree of sonographic hydronephrosis (HN) on days 5-7: group I (n = 87, 64%) included patients who had grades 1 and 2 (64%) and group II (n = 49, 36%) included patients who had grade 3 and above HN. The grade of HN was found to be correlated with the increased risk of urologic pathologies. Frequency of vesicoureteral reflux was found to be significantly lower in patients with mild HN (6%) as compared to patients with severe AHN (29%) (p = 0.005). In addition, the risk of urinary tract infection increases with increasing grades of HN (10% vs. 29%, p = 0.006). The frequency of spontaneous resolution in patients with mild AHN (64%) was also significantly higher than in patients with severe HN (29%) (p < 0.001). The degree of AHN can be used for making decision about further diagnostic imaging and treatment. Our results strongly suggest that low-grade HN is a relatively self-limited condition and needs minimal investigation. In contrast, the outcome of more severe degrees of AHN needs clarification.tr_TR
dc.language.isoentr_TR
dc.publisherTaylor and Francistr_TR
dc.relation.isversionof10.3109/0886022X.2012.676492tr_TR
dc.subjectantenatal hydronephrosis,tr_TR
dc.subjectprospective follow-uptr_TR
dc.subjectvesicoureteral refluxtr_TR
dc.subjectureteropelvic junction obstructiontr_TR
dc.titleEvaluation and outcome of antenatal hydronephrosis: a prospective study.tr_TR
dc.typeArticletr_TR
dc.relation.journalRenal Failuretr_TR
dc.contributor.departmentTıp Fakültesitr_TR
dc.contributor.authorID0000-0002-6467-7470tr_TR
dc.identifier.volume34tr_TR
dc.identifier.issue6tr_TR
dc.identifier.startpage718tr_TR
dc.identifier.endpage721tr_TR
dc.relation.publicationcategoryMakale - Uluslararası - Editör Denetimli Dergitr_TR
dc.identifier.issn/e-issn1525-6049


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