Evaluation and Management of Hydronephrosis at First Year of Life in Central Anatolia

Authors : Hulusi Emre Çeviker, Emin Gürtan, Osman Öztürks

Pages : 337-344

View : 21 | Download : 94

Publication Date : 2025-09-15

Article Type : Research Paper

Abstract :Objective: The aim of this study was to evaluate the prognosis and outcomes of patients diagnosed with hydronephrosis in the first year of life and to follow them in terms of growth, development and urinary tract infection. Material and Methods: The study group consists of the follow-up of 28 patients who were followed up with the diagnosis of Antenatal Hydronephrosis in the Pediatrics outpatient clinics of our University. The files of the cases included in the study were retrospectively scanned and demographic data, imaging methods, previous urinary tract infection, growth development and nutritional status of the patients were evaluated during the one-year follow-up. Renal ultrasonography findings performed in the antenatal period were graded according to pelvic anteroposterior diameters. Results: A total of 28 patients with hydronephrosis detected by ultrasonography during antenatal period were included in our study. Unilateral hydronephrosis in 14 (50%) of the patients in the first postanatal ultrasonography, bilateral hydronephrosis in 10 (35.7%) and 4 (14.3%) was seen as normal. In the first postnatal ultrasonography of the patients followed during the thesis study, 71.4% had mild hydronephrosis, 14.3% had severe hydronephrosis, and 14.3% was normal. In all follow-ups of patients with the diagnosis of hydronephrosis, there was a negative effect on the growth and development of the patients between the degree of hydronephrosis and the follow-up, and an opposite relationship was observed. These results were found to be statistically significant (p<0.05). Conclusion: Many causes of antenatal hydronephrosis etiology can regress spontaneously without the need for intervention, and it is considered appropriate to identify patients who need further examination and to follow up with less examination and prospective follow-up plan for other patients.
Keywords : Hidronefroz, antenatal hidronefroz, postnatal takip

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