Abstract
A total of 11 male neonates with hydronephrosis and a large bladder in utero had the megacystis-megaureter association. Prenatal ultrasound findings included bilateral hydroureteronephrosis; a large, smooth, thin-walled bladder, and normal volume of amniotic fluid. Postnatal studies demonstrated grades 4 to 5 bilateral reflux, a large bladder without obstruction and in 2 infants nonfunction of a kidney or renal moiety. Of 7 infants initially managed nonoperatively 5 have undergone surgery due to persistent reflux or breakthrough urinary infections. The prenatal diagnosis of the megacystis- megaureter association can be suspected with reasonable accuracy. Prompt postnatal continuous antibiotic prophylaxis and uroradiological confirmation allow for nonemergency management of this condition with excellent results.
Original language | English (US) |
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Pages (from-to) | 1487-1489 |
Number of pages | 3 |
Journal | Journal of Urology |
Volume | 148 |
Issue number | 5 I |
DOIs | |
State | Published - 1992 |
Keywords
- abnormalities
- bladder
- prenatal diagnosis
- ultrasonic diagnosis
- ureter
ASJC Scopus subject areas
- Urology