Follow-up of unilateral XXXX after prenatal diagnosis.

@entity1 @entity8 @entity851 @entity5409 @entity853 @entity15740 @entity600 @entity3025 @entity790
OBJECTIVES: Since the introduction of antenatal diagnostic screening, @entity15740 ( @entity15740 ) has been diagnosed in 1 of 4300 live births. We analyze our own experience and demonstrate a management regime based on these results and existing studies. METHODS: Retrospective data analysis was carried out in 110 @entity1 , prenatally diagnosed with MCDK. A total of 93 @entity1 with confirmed diagnosis of unilateral MCDK were born alive and followed up in our institutions. RESULTS: A total of 110 unilateral @entity5409 were prenatally diagnosed; 93 were confirmed postnatally. These @entity1 were retrospectively allocated to two treatment groups: 51 were operated upon; 42 were treated conservatively. A micturition cystourethrogram was performed 88 times, yielding 20 pathological findings. @entity3025 was identified 11 times (12.5%). Eleven @entity1 (12%) had associated non-urological abnormalities. @entity853 predominated. After 1995, nephrectomy was performed only when clinically indicated. Thirty-seven @entity1 were treated conservatively for between 4 months and 6 years (mean 33 months); 28 @entity8 exhibited size reduction. Complete involution was noted in 16 of 28 @entity1 between 7 and 29 months (mean 16.2 months). CONCLUSION: This study provides evidence that neonatal nephrectomy of unilateral MCDK is rarely required. It also shows that the discussed @entity600 is not an isolated @entity851 . In a high proportion, associated @entity790 were present and therapeutically relevant, and determined the overall prognosis.
