Delayed Presentation of Ureteropelvic Junction Obstruction and Loss of Renal Function After Initially Mild (SFU Grade 1-2) Hydronephrosis
We report 4 pediatric cases of ureteropelvic junction obstruction involving delayed progression of initially mild postnatal hydronephrosis. All 4 children became symptomatic; however, 3 already had a substantial decrement of ipsilateral kidney function by the time of diagnosis. Two of these 3 patien...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2015-07, Vol.86 (1), p.168-170 |
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| creator | Bowen, Diana K Yerkes, Elizabeth B Lindgren, Bruce W Gong, Edward M Faasse, Mark A |
| description | We report 4 pediatric cases of ureteropelvic junction obstruction involving delayed progression of initially mild postnatal hydronephrosis. All 4 children became symptomatic; however, 3 already had a substantial decrement of ipsilateral kidney function by the time of diagnosis. Two of these 3 patients had previous renal scintigraphy demonstrating normal differential function. We caution that counseling regarding hydronephrosis should emphasize the importance of prompt re-evaluation for any symptoms potentially referable to delayed presentation of ureteropelvic junction obstruction, irrespective of initial hydronephrosis grade. Future studies are needed to determine the optimal follow-up regimen for conservative management of hydronephrosis. |
| doi_str_mv | 10.1016/j.urology.2015.03.032 |
| format | Article |
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All 4 children became symptomatic; however, 3 already had a substantial decrement of ipsilateral kidney function by the time of diagnosis. Two of these 3 patients had previous renal scintigraphy demonstrating normal differential function. We caution that counseling regarding hydronephrosis should emphasize the importance of prompt re-evaluation for any symptoms potentially referable to delayed presentation of ureteropelvic junction obstruction, irrespective of initial hydronephrosis grade. 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Future studies are needed to determine the optimal follow-up regimen for conservative management of hydronephrosis.</description><subject>Delayed Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Imaging - methods</subject><subject>Disease Progression</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hydronephrosis - complications</subject><subject>Hydronephrosis - diagnosis</subject><subject>Hydronephrosis - physiopathology</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Kidney Function Tests</subject><subject>Male</subject><subject>Ureteral Obstruction - diagnosis</subject><subject>Ureteral Obstruction - etiology</subject><subject>Ureteral Obstruction - physiopathology</subject><subject>Urology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt9uFCEUxonR2LX6CBou68WswAzMcKNpqtvW1NRY95owcFZZWVhhpsk8gm8t42698MbkJJDw-84fvoPQS0qWlFDxZrscU_Tx27RkhPIlqUuwR2hBOWsrKSV_jBaESFI1TPIT9CznLSFECNE-RSdMEE67hi7Qr_fg9QQWf06QIQx6cDHguMHrBAOkuAd_7wz-OAbz5-W2z0MaD3cdLL6JOc_4Fwja49UDdr4pYnwd3OC09xP-5LzFZ3erNb5M2gKmFXuNryabYoD99xSzy8_Rk432GV4cz1O0Xn34enFV3dxeXl-c31SGczFUnFsGpjddV1MjKOuZ7tqub1prZNsR6CTrG6mbRlNbM9kaYq0RUtbQ9JK2dX2Kzg559yn-HCEPaueyAe91gDhmRYVspGg6OqP8gJrSYU6wUfvkdjpNihI1u6C26uiCml1QpC7Biu7VscTY78D-VT18ewHeHQAog947SCobB8GAdQnMoGx0_y3x9p8MxrvgjPY_YIK8jWMqhpRpVGaKqLt5FeZNoJwUeUvr3-aksRw</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Bowen, Diana K</creator><creator>Yerkes, Elizabeth B</creator><creator>Lindgren, Bruce W</creator><creator>Gong, Edward M</creator><creator>Faasse, Mark A</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4271-6763</orcidid><orcidid>https://orcid.org/0000-0002-1524-7239</orcidid></search><sort><creationdate>20150701</creationdate><title>Delayed Presentation of Ureteropelvic Junction Obstruction and Loss of Renal Function After Initially Mild (SFU Grade 1-2) Hydronephrosis</title><author>Bowen, Diana K ; Yerkes, Elizabeth B ; Lindgren, Bruce W ; Gong, Edward M ; Faasse, Mark A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c556t-55d2ecbc8831c612b2a878b47dc9780e892b49a44a1d3297c0ddc6993e4b91733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Delayed Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic Imaging - methods</topic><topic>Disease Progression</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hydronephrosis - complications</topic><topic>Hydronephrosis - diagnosis</topic><topic>Hydronephrosis - physiopathology</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Kidney Function Tests</topic><topic>Male</topic><topic>Ureteral Obstruction - diagnosis</topic><topic>Ureteral Obstruction - etiology</topic><topic>Ureteral Obstruction - physiopathology</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bowen, Diana K</creatorcontrib><creatorcontrib>Yerkes, Elizabeth B</creatorcontrib><creatorcontrib>Lindgren, Bruce W</creatorcontrib><creatorcontrib>Gong, Edward M</creatorcontrib><creatorcontrib>Faasse, Mark A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bowen, Diana K</au><au>Yerkes, Elizabeth B</au><au>Lindgren, Bruce W</au><au>Gong, Edward M</au><au>Faasse, Mark A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delayed Presentation of Ureteropelvic Junction Obstruction and Loss of Renal Function After Initially Mild (SFU Grade 1-2) Hydronephrosis</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>86</volume><issue>1</issue><spage>168</spage><epage>170</epage><pages>168-170</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>We report 4 pediatric cases of ureteropelvic junction obstruction involving delayed progression of initially mild postnatal hydronephrosis. 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| subjects | Delayed Diagnosis Diagnosis, Differential Diagnostic Imaging - methods Disease Progression Follow-Up Studies Humans Hydronephrosis - complications Hydronephrosis - diagnosis Hydronephrosis - physiopathology Infant Infant, Newborn Kidney Function Tests Male Ureteral Obstruction - diagnosis Ureteral Obstruction - etiology Ureteral Obstruction - physiopathology Urology |
| title | Delayed Presentation of Ureteropelvic Junction Obstruction and Loss of Renal Function After Initially Mild (SFU Grade 1-2) Hydronephrosis |
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