Upper Urinary Tract Obstructions

  • Boris Chertin

The advent of prenatal ultrasound (US) has enabled the physician to diagnose urinary tract abnormalities with far greater frequency than previously. Pelvi-ureteric junction (PUJ) and uretero-vesical junction (UVJ) obstruction are the most common causes of hydroneph-rosis detected antenatally. Management of these patients after birth remains controversial. In spite of the increased incidence of diagnosed urinary tract abnormalities the distinction between urinary tract obstruction and urinary tract dilatation still remains a challenging problem. The recognition and relief of signifi cant obstruction is important to prevent irreversible damage to the kidneys.

Keywords

Renal Pelvis Urinary Tract Obstruction Urinary Tract Abnormality Bilateral Hydronephrosis Urinary Tract Dilatation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Further Reading

  1. Chertin B, Fridmans A, Knizhnik M, Hadas-Halpern I, Hain D, Farkas A (1999) Does early detection of ureteroplevic junction obstruction improve surgical outcome in terms of renal function? J Urol 162:1037–1041PubMedCrossRefGoogle Scholar
  2. Chertin B, Pollack A, Koulikov D et al (2006) Conservative treatment of uretero-pelvic junction obstruction in children with antenatal diagnosis of hydronephrosis: Lessons learned after 16 years of follow up. Eur Urol 49(4):734–739PubMedCrossRefGoogle Scholar
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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Boris Chertin
    • 1
  1. 1.Department of Urology, Shaare Zedek Medical CenterJerusalemIsrael

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