Post by mdselim on Feb 20, 2024 6:55:45 GMT
Congenital anomalies of the kidneys and urinary tract are present in 3-6 of 1000 newborns. Dr. Nadica Ristoska Bojkovska, pediatric nephrologist at "Acibadem Sistina" explains all congenital kidney anomalies and the need for their early diagnosis. In the following, we explain the most frequent abnormalities of the urinary tract: Congenital hydronephrosis Hydronephosis is the most frequent anomaly that can be detected in early pregnancy by means of an ultrasound scan. It is about abnormalities of the kidney ducts when they are enlarged. In children, this anomaly is manifested by gastro-intestinal or abdominal discomfort, nausea, vomiting or urinary infection. Postnatal hydronephrosis is diagnosed a few days after birth, by means of echo control.
If the ultrasonogram is in Hong Kong Telegram Number Data order, several checks are necessary during the first year of birth. If hydronephrosis is confirmed, several examinations should be performed during week 2 to week 4. If hyponephrosis is obstructed (ie with complete blockage of urine flow), surgical treatment is recommended. In other babies where the abnormality does not cause obstruction and has normal kidney function, it is treated conservatively with echo and renogram checks 3-4 times during the first 2 years. Reflux bladder ureteral Vesicoureteral reflux refers to the return of urine from the bladder to the kidneys, while the normal flow of urine should be in one direction, from the kidney to the bladder. Urine that backs up into the kidneys is a source of infection in the kidneys and urinary tract, and retention of urine can damage the kidneys.
The anomaly is inherited, 33% of siblings of patients with reflux will be affected by this anomaly, and 66% of children of reflux patients will have reflux. The treatment of this anomaly depends on many factors, especially the age of the patient, the time when it was discovered, and the degree of reflux. In most cases, reflux resolves spontaneously. It is necessary to regularly monitor the condition and carry out regular checks, prophylactic therapy for the prevention of urinary infections in the patient. If it is a low-grade reflux, the treatment is conservative. In cases of more severe reflux, options are periureteral collagen reflux injection (STING method) or open surgery. Ectopic urethras We have ectopic urethra when the opening of the urethra is located outside the bladder. This anomaly is 6 times more common in women than in men.
If the ultrasonogram is in Hong Kong Telegram Number Data order, several checks are necessary during the first year of birth. If hydronephrosis is confirmed, several examinations should be performed during week 2 to week 4. If hyponephrosis is obstructed (ie with complete blockage of urine flow), surgical treatment is recommended. In other babies where the abnormality does not cause obstruction and has normal kidney function, it is treated conservatively with echo and renogram checks 3-4 times during the first 2 years. Reflux bladder ureteral Vesicoureteral reflux refers to the return of urine from the bladder to the kidneys, while the normal flow of urine should be in one direction, from the kidney to the bladder. Urine that backs up into the kidneys is a source of infection in the kidneys and urinary tract, and retention of urine can damage the kidneys.
The anomaly is inherited, 33% of siblings of patients with reflux will be affected by this anomaly, and 66% of children of reflux patients will have reflux. The treatment of this anomaly depends on many factors, especially the age of the patient, the time when it was discovered, and the degree of reflux. In most cases, reflux resolves spontaneously. It is necessary to regularly monitor the condition and carry out regular checks, prophylactic therapy for the prevention of urinary infections in the patient. If it is a low-grade reflux, the treatment is conservative. In cases of more severe reflux, options are periureteral collagen reflux injection (STING method) or open surgery. Ectopic urethras We have ectopic urethra when the opening of the urethra is located outside the bladder. This anomaly is 6 times more common in women than in men.