Fetal Hydronephrosis

Fetal hydronephrosis is the swelling of the kidney when besides much urine collects in the pelvis ( or river basin ) of the kidney. This occurs because there is a blockage of the normally spare flow of urine, most normally in the ureter ( the tube that connects the kidney to the bladder ), and the urine is not allowed to drain into the bladder. This blockage causes a imperativeness buildup which causes the kidney to enlarge. The badness of fetal hydronephrosis depends on how boastfully the kidney has ballooned and the extent of the blockage. If not corrected, it can cause the kidney to lose its ability to make urine. on-key hydronephrosis is, therefore, a major concern .

What Causes Fetal Hydronephrosis?

fetal hydronephrosis is caused by an obstacle to what should be a barren run of urine out of the kidney. An example of this is kinking of the ureter. It may besides be caused by an abnormal backwashing of urine from the bladder back into the kidney. An case of this is vesicoureteral reflux or “ reflux. ”

How Is Fetal Hydronephrosis Diagnosed?

hydronephrosis is diagnosed prenatally ( before parturition ) using sonography ( sonogram ) interrogation. After the baby is born, sonography or early tests may be necessity to determine the campaign and severity of the hydronephrosis. Tests may include intravenous pyelogram ( IVP ), voiding cystourethrogram ( VCU ), nephritic scan or magnetic plangency image ( MRI ) .

What Are the Symptoms of Fetal Hydronephrosis?

There are no outward symptoms to the fraught mother that her fetus has hydronephrosis. Once the baby is born, the baby doctor may be able to feel a well in the region of the kidney ( under the lean of the ridicule in the back or bass in the mid-abdomen ), but many times the neonate examen is normal. Decreased urine run after parturition, swelling that occurs by and by in the kidney area or urinary infection are other possible symptoms of this problem.

How Is Fetal Hydronephrosis Treated?

treatment of fetal hydronephrosis is normally postponed until after delivery. only in the most severe cases ( in which the loss of kidney function is expected if left untreated to delivery ) is intrauterine operation attempted during the pregnancy. In these most austere cases, an attack is made to place a drain through the pamper ‘s back into the kidney to allow passage of urine and respite of the pressure in the kidney.

This is done with endoscopic instruments inserted through mother ‘s abdomen into the uterus ( uterus ) itself. Because of the risks of preterm labor movement, infection, injury to baby or mother, and hapless result, this procedure is reserved for the most severe cases .
At Lurie Children ‘s, fetal hydronephrosis is treated by The Chicago Institute for Fetal Health team. Learn more .

What Are the Long-term Effects of Fetal Hydronephrosis?

Less severe cases are treated after delivery, and the kidney normally recovers well and there are no long-run problems. Treatment involves surgery, either major or minor, to correct whatever is causing the blockage of urine or to repair the valve-like structures of the ureter to prevent backflow of urine from the bladder .

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