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Neonatal congenital megaureters: trends in diagnosis and management

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Summary

This report describes the last 16 cases of congenital primary obstructive megaureter (CPOM) encountered at our institution, whereby antenatal diagnosis was an important method of detection (13 of 16 cases). In most cases, no precise diagnosis was established in utero (2 of 13 infants). This lack of accuracy is of little importance, since all babies with suspected uropathies undergo a uroradiological work-up after birth (ultrasound, voiding cystogram, and urogram). Our series showed a marked male predominance (80%). CPOM showed a high potential for spontaneous resolution after birth (40%). Therapeutic decisions should be based mainly on studies of renal function (quantitative isotopic nephrogram with diuretics). Therefore, as long as renal function has not deteriorated during follow-up, conservative management should be elected first. Only cases showing clinical symptoms or decreased renal function should be treated surgically.

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Authors and Affiliations

  1. Department of Radiology, University Clinics of Brussels, Erasme Hospital route de Lennik, 808, B-1070, Brussels, Belgium

    E. F. Avni & E. Pichot

  2. Department of Urology, University Clinics of Brussels, Erasme Hospital route de Lennik, 808, B-1070, Brussels, Belgium

    C. C. Schulman

Authors
  1. E. F. Avni
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  2. E. Pichot
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  3. C. C. Schulman
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Avni, E.F., Pichot, E. & Schulman, C.C. Neonatal congenital megaureters: trends in diagnosis and management. World J Urol 10, 90–93 (1992). https://doi.org/10.1007/BF00183141

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  • DOI: https://doi.org/10.1007/BF00183141

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