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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2018; 05(01): 37-44
DOI: 10.1007/s40556-017-0147-x
Review Article

Practical Management of Fetal Obstructive Uropathy

Colin J. Down
1   Department of Fetal Medicine, St. Michaels’ Hospital, Southwell Street, BS2 8EG, Bristol, UK
,
Jessica K. Burns
2   Department of Paediatric Urology, Bristol Children’s Hospital, Upper Maudlin Street, BS2 8BJ, Bristol, UK
,
Mark N. Woodward
2   Department of Paediatric Urology, Bristol Children’s Hospital, Upper Maudlin Street, BS2 8BJ, Bristol, UK
,
Timothy G. Overton
1   Department of Fetal Medicine, St. Michaels’ Hospital, Southwell Street, BS2 8EG, Bristol, UK
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Abstract

Urinary tract dilatation is commonly identified on antenatal ultrasound. It represents a wide range of aetiologies including obstructive uropathy. Antenatal diagnosis and a consistent, evidenced based approach to follow up is essential in reducing neonatal morbidity and mortality. We present a summary of the current literature and a practical guide to the management of obstructive uropathy, including the normal sonographic features of the developing fetal urinary tract, antenatal diagnostic criteria and the approach to postnatal investigation and management.

Keywords

Obstructive uropathy - Hydronephrosis - Antenatal - Postnatal - Ultrasonography


Publication History

Received: 30 October 2017

Accepted: 29 November 2017

Article published online:
08 May 2023

© 2017. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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