Prenatal ultrasound and urological anomalies

Prenatal ultrasound is an integral part of caring for pregnant women in the United States. Although surprisingly few data exist to support the clinical benefit of screening ultrasound during pregnancy, its use continues to rise. Urologic anomalies are among the most commonly identified, with overall...

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Bibliographic Details
Published inThe Pediatric clinics of North America Vol. 59; no. 4; p. 739
Main Authors Clayton, Douglass B, Brock, 3rd, John W
Format Journal Article
LanguageEnglish
Published United States 01.08.2012
Subjects
Female
Humans
North America
Pregnancy
Sensitivity and Specificity
Ultrasonography, Prenatal
Urogenital Abnormalities - diagnostic imaging
Urogenital Abnormalities - therapy
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Summary:Prenatal ultrasound is an integral part of caring for pregnant women in the United States. Although surprisingly few data exist to support the clinical benefit of screening ultrasound during pregnancy, its use continues to rise. Urologic anomalies are among the most commonly identified, with overall detection sensitivity approaching 90%. Prenatal hydronephrosis is the most frequently identified finding and predicting postnatal pathology based on its presence can be difficult. As the degree of fetal hydronephrosis increases so does the risk of true urinary tract pathology. Diagnoses that require more urgent care include causes of lower urinary tract obstruction and bladder and cloacal exstrophy.
ISSN:1557-8240
DOI:10.1016/j.pcl.2012.05.003