Evaluation and Management of Hydronephrosis at First Year of Life in Central Anatolia

Hulusi Emre Çeviker; Emin Gürtan; Osman Öztürks

Makale detayları

Evaluation and Management of Hydronephrosis at First Year of Life in Central Anatolia

Yazarlar:

Hulusi Emre Çeviker | Emin Gürtan | Osman Öztürks

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Bebek ve Çocuk Sağlığı

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.337-344

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358217

pISSN:

2146-4006

Anahtar kelimeler:

Özet:

 Objective: The aim of this study was to evaluate the prognosis and outcomes of patients diagnosed with hydronephrosis in the first year of life and to follow them in terms of growth, development and urinary tract infection. Material and Methods: The study group consists of the follow-up of 28 patients who were followed up with the diagnosis of Antenatal Hydronephrosis in the Pediatrics outpatient clinics of our University. The files of the cases included in the study were retrospectively scanned and demographic data, imaging methods, previous urinary tract infection, growth development and nutritional status of the patients were evaluated during the one-year follow-up. Renal ultrasonography findings performed in the antenatal period were graded according to pelvic anteroposterior diameters. Results: A total of 28 patients with hydronephrosis detected by ultrasonography during antenatal period were included in our study. Unilateral hydronephrosis in 14 50 of the patients in the first postanatal ultrasonography, bilateral hydronephrosis in 10 35.7 and 4 14.3 was seen as normal. In the first postnatal ultrasonography of the patients followed during the thesis study, 71.4 had mild hydronephrosis, 14.3 had severe hydronephrosis, and 14.3 was normal. In all follow-ups of patients with the diagnosis of hydronephrosis, there was a negative effect on the growth and development of the patients between the degree of hydronephrosis and the follow-up, and an opposite relationship was observed. These results were found to be statistically significant p0.05. Conclusion: Many causes of antenatal hydronephrosis etiology can regress spontaneously without the need for intervention, and it is considered appropriate to identify patients who need further examination and to follow up with less examination and prospective follow-up plan for other patients.

 Objective: The aim of this study was to evaluate the prognosis and outcomes of patients diagnosed with hydronephrosis in the first year of life and to follow them in terms of growth, development and urinary tract infection. Material and Methods: The study group consists of the follow-up of 28 patients who were followed up with the diagnosis of Antenatal Hydronephrosis in the Pediatrics outpatient clinics of our University. The files of the cases included in the study were retrospectively scanned and demographic data, imaging methods, previous urinary tract infection, growth development and nutritional status of the patients were evaluated during the one-year follow-up. Renal ultrasonography findings performed in the antenatal period were graded according to pelvic anteroposterior diameters. Results: A total of 28 patients with hydronephrosis detected by ultrasonography during antenatal period were included in our study. Unilateral hydronephrosis in 14 50 of the patients in the first postanatal ultrasonography, bilateral hydronephrosis in 10 35.7 and 4 14.3 was seen as normal. In the first postnatal ultrasonography of the patients followed during the thesis study, 71.4 had mild hydronephrosis, 14.3 had severe hydronephrosis, and 14.3 was normal. In all follow-ups of patients with the diagnosis of hydronephrosis, there was a negative effect on the growth and development of the patients between the degree of hydronephrosis and the follow-up, and an opposite relationship was observed. These results were found to be statistically significant p0.05. Conclusion: Many causes of antenatal hydronephrosis etiology can regress spontaneously without the need for intervention, and it is considered appropriate to identify patients who need further examination and to follow up with less examination and prospective follow-up plan for other patients.

 Objective: The aim of this study was to evaluate the prognosis and outcomes of patients diagnosed with hydronephrosis in the first year of life and to follow them in terms of growth, development and urinary tract infection. Material and Methods: The study group consists of the follow-up of 28 patients who were followed up with the diagnosis of Antenatal Hydronephrosis in the Pediatrics outpatient clinics of our University. The files of the cases included in the study were retrospectively scanned and demographic data, imaging methods, previous urinary tract infection, growth development and nutritional status of the patients were evaluated during the one-year follow-up. Renal ultrasonography findings performed in the antenatal period were graded according to pelvic anteroposterior diameters. Results: A total of 28 patients with hydronephrosis detected by ultrasonography during antenatal period were included in our study. Unilateral hydronephrosis in 14 50 of the patients in the first postanatal ultrasonography, bilateral hydronephrosis in 10 35.7 and 4 14.3 was seen as normal. In the first postnatal ultrasonography of the patients followed during the thesis study, 71.4 had mild hydronephrosis, 14.3 had severe hydronephrosis, and 14.3 was normal. In all follow-ups of patients with the diagnosis of hydronephrosis, there was a negative effect on the growth and development of the patients between the degree of hydronephrosis and the follow-up, and an opposite relationship was observed. These results were found to be statistically significant p0.05. Conclusion: Many causes of antenatal hydronephrosis etiology can regress spontaneously without the need for intervention, and it is considered appropriate to identify patients who need further examination and to follow up with less examination and prospective follow-up plan for other patients.

 Amaç: Bu çalışmanın amacı, hidronefroz tanısı alan hastaların yaşamının ilk yılında prognoz ve sonuçlarını değerlendirmekle birlikte büyüme, gelişme ve üriner sistem enfeksiyonu açısından takip etmektir. Gereç ve Yöntemler: Çalışma grubunu Üniversitemiz Çocuk Sağlığı ve Hastalıkları polikliniklerinde Antenatal Hidronefroz tanısı ile takip edilen 28 hasta oluşturmaktadır. Çalışmaya dahil edilen olguların dosyaları retrospektif olarak tarandı ve bir yıllık takipte hastaların demografik verileri, görüntüleme yöntemleri, geçirilmiş üriner sistem enfeksiyonu, büyüme gelişimi ve beslenme durumları değerlendirildi. Antenatal dönemde yapılan renal ultrasonografi bulguları pelvik anteroposterior çaplarına göre derecelendirildi. Bulgular: Antenatal dönemde ultrasonografi ile hidronefroz saptanan toplam 28 hasta çalışmamıza dahil edildi. Birinci postanatal ultrasonografide hastaların 14ünde 50 unilateral hidronefroz, 10unda 35,7 bilateral hidronefroz ve 4ünde 14,3 normal görüldü. Tez çalışması süresince takip edilen hastaların 71,4ünde hafif hidronefroz, 14,3ünde ağır hidronefroz ve 14,3ünde normal saptandı. Hidronefroz tanısı alan hastaların tüm takiplerinde, hidronefrozun derecesi ile takip arasında hastaların büyüme ve gelişmesi üzerine olumsuz etki olmuş ve zıt bir ilişki gözlenmiştir. Bu sonuçlar istatistiksel olarak anlamlı bulundu p0.05. Sonuç: Antenatal hidronefroz etiyolojisinin birçok nedeni girişime gerek kalmadan kendiliğinden gerileyebilmekte olup, ileri tetkik gereken hastaların belirlenmesi, diğer hastalar için daha az tetkik ve prospektif takip planı ile takip edilmesinin uygun olduğu düşünülmektedir.

Makale detayları

Evaluation and Management of Hydronephrosis at First Year of Life in Central Anatolia

Yazarlar:

Hulusi Emre Çeviker | Emin Gürtan | Osman Öztürks

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Bebek ve Çocuk Sağlığı

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.337-344

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358217

pISSN:

2146-4006

Hydronephrosis

antenatal hydronephrosis

postnatal follow-upHidronefroz

antenatal hidronefroz

postnatal takip

Sayı

Makale detayları

Evaluation and Management of Hydronephrosis at First Year of Life in Central Anatolia

Yazarlar: Hulusi Emre Çeviker | Emin Gürtan | Osman Öztürks

Yayıncı: Yozgat Bozok University

Ana Başlıklar: Bebek ve Çocuk Sağlığı

Dergi: Bozok Tıp Dergisi Vol.15 Issue 3, pp.337-344

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001358217

pISSN: 2146-4006

Hydronephrosis

antenatal hydronephrosis

postnatal follow-upHidronefroz

antenatal hidronefroz

postnatal takip

Sayı

Yazarlar:

Hulusi Emre Çeviker | Emin Gürtan | Osman Öztürks

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Bebek ve Çocuk Sağlığı

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.337-344

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358217

pISSN:

2146-4006