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Perinatal Urology

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Pediatric Nephrology

Abstract

The increased use of maternal-fetal ultrasound has led to the development of the field of perinatal urology. Antenatal hydronephrosis (ANH) is identified in approximately 1–3% of all pregnancies and is one of the most common birth defects detected (1–4). Other urologic abnormalities have been diagnosed prenatally as well, including renal cystic disease, renal agenesis, stones and tumors. For the pediatric urologist, these prenatal findings have created numerous clinical dilemmas that challenge our understanding of normal and abnormal renal embryology and physiology. In this chapter, we discuss the diagnosis of prenatal urologic abnormalities and the postnatal implications, the rationale behind prenatal intervention, and our clinical experience in managing children with prenatal urologic abnormalities.

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Acknowledgment

The authors acknowledge the assistance of Carol E. Barnewolt, M.D., for providing many of the fetal ultrasound images.

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Authors and Affiliations

  1. Instructor of Surgery (Urology), Harvard Medical School, and Attending Surgeon, Department of Urology, Children’s Hospital Boston, Boston, MA, USA

    Richard S. Lee MD

  2. Associate Professor of Surgery (Urology), Harvard Medical School, and Attending Surgeon, Department of Urology, Children’s Hospital Boston, Boston, MA, USA

    David A. Diamond MD

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  1. Richard S. Lee MD
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  2. David A. Diamond MD
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Editor information

Editors and Affiliations

  1. Medical College of Wisconsin, Wisconsin, USA

    Ellis Avner (Director, Children's Research Institute, CHHS, Associate Dean for Research, Professor of Pediatrics and Physiology) (Director, Children's Research Institute, CHHS, Associate Dean for Research, Professor of Pediatrics and Physiology)

  2. Harvard Medical School, Children's Hospital Boston, 300 Longwood Avenue, Boston, Massachusetts, 02115, USA

    William Harmon (Professor of Pediatrics, Director, Pediatric Nephrology) (Professor of Pediatrics, Director, Pediatric Nephrology)

  3. Service de Néphrologie Pédiatrique Centre de référence des Maladies Rénales Héréditaires de l'Enfant et de l'Adulte (MARHEA), Hôpital Necker‐Enfants Malades, 149, rue de Sèvres, 75743, Paris Cedex 15, France

    Patrick Niaudet

  4. Department of Pediatrics Wakayama Medical University, Wakayama Medical University Hospital, 641–8510811–1, Kimiidera, Wakayama City, Japan

    Norishige Yoshikawa (Professor and Chair Pediatrician‐in‐Chief) (Professor and Chair Pediatrician‐in‐Chief)

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© 2009 Springer-Verlag Berlin Heidelberg

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Lee, R.S., Diamond, D.A. (2009). Perinatal Urology. In: Avner, E., Harmon, W., Niaudet, P., Yoshikawa, N. (eds) Pediatric Nephrology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-76341-3_4

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  • DOI: https://doi.org/10.1007/978-3-540-76341-3_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-76327-7

  • Online ISBN: 978-3-540-76341-3

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