Clinical Significance of Mild Fetal Pelviectasia and The Role of Postnatal Voiding Cystourethrography

Park, So-Eun; Kim, So-Hyun; Yoo, Eun-Sun; Park, Eun-Ae; Lee, Seung-Joo

J Korean Soc Pediatr Nephrol > Volume 5(2); 2001 > Article

J Korean Soc Pediatr Nephrol 2001;5(2): 182-187.

경증의 태아 신우확장이 갖는 임상적 의의와 생후 배뇨성 방광요도조영술의 역할

박소은, 김소현, 유은선, 박은애, 이승주

¹이화여자대학교 의과대학 소아과학교실, 의과학연구소
²이화여자대학교 의과대학 소아과학교실, 의과학연구소
³이화여자대학교 의과대학 소아과학교실, 의과학연구소
⁴이화여자대학교 의과대학 소아과학교실, 의과학연구소
⁵이화여자대학교 의과대학 소아과학교실, 의과학연구소

Clinical Significance of Mild Fetal Pelviectasia and The Role of Postnatal Voiding Cystourethrography

So-Eun Park, So-Hyun Kim, Eun-Sun Yoo, Eun-Ae Park, Seung-Joo Lee

¹Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
²Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
³Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
⁴Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
⁵Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center

ABSTRACT

PURPOSE: To evaluate the clinical significance of antenatally detected mild fetal pelviectasia and the role of voiding cystourethrography (VCUG). METHODS: From January 1999 to September 1999, 28 neonates (44 pelviectatic kidneys) with mild fetal pelviectasia (anteroposterial diameter <10 mm) were evaluated by postnatal renal sonography and voiding cystourethrography. RESULTS: Among 44 mild pelviectatic kidneys, 29 (65.9%) kidneys had no pelviectasia and 15 (34.1%) kidneys had persistent mild pelviectasia on postnatal renal sonography. Four (9.1%) kidneys of 3 males (10.7%) without pelviectasia on postnatal renal sonography had vesicoureteral reflux (VUR) on voiding cystourethrography. Vesicoureteral reflux was not correlated with prenatal progression or regression of pelviectasia and was not correlated with postnatal pelviectasia. CONCLUSION: All neonate with mild fetal pelviectasia need to undergo voiding cystoure- thrography for early diagnosis of vesicoureteral reflux even though postnatal renal sonography shows no pelviectasia.

Key words: Mild fetal pelviectasia | Vesicoureteral reflux | Voiding cystourethrography