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The Predictive Value of Ultrasonography in Evaluation of Infants with Posterior Urethral Valves

1992; Lippincott Williams & Wilkins; Volume: 148; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(17)36531-x

1527-3792

William C. Hulbert, Henrietta Kotlus Rosenberg, Patrick C. Cartwright, John W. Duckett, Howard M. Snyder,

Congenital gastrointestinal and neural anomalies

No AccessJournal of Urology1 Jul 1992The Predictive Value of Ultrasonography in Evaluation of Infants with Posterior Urethral Valves William C. Hulbert, Henrietta Kotlus Rosenberg, Patrick C. Cartwright, John W. Duckett, and Howard McCrum Snyder William C. HulbertWilliam C. Hulbert , Henrietta Kotlus RosenbergHenrietta Kotlus Rosenberg , Patrick C. CartwrightPatrick C. Cartwright , John W. DuckettJohn W. Duckett , and Howard McCrum SnyderHoward McCrum Snyder View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)36531-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Between 1981 and 1989, 28 infants less than 6 months old with posterior urethral valves underwent ultrasound evaluation as part of the initial evaluation at our hospital. The single ultrasound feature that correlated with subsequent renal function was the status of corticomedullary differentiation. The presence of corticomedullary junctions in at least 1 kidney in 17 infants was always associated with a serum creatinine level of 0.8mg./dl. or less in long-term followup. Of 11 patients with absent corticomedullary differentiation 7 had eventual creatinine levels of greater than 0.8mg./dl. with 5 of them suffering clinically significant renal insufficiency. An association between vesicoureteral reflux and absent corticomedullary junctions was also found. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited BySarhan O, El-Ghoneimi A, Helmy T, Dawaba M, Ghali A and Ibrahiem E (2011) Posterior Urethral Valves: Multivariate Analysis of Factors Affecting the Final Renal OutcomeJournal of Urology, VOL. 185, NO. 6S, (2491-2496), Online publication date: 1-Jun-2011.Sarhan O, Zaccaria I, Macher M, Muller F, Vuillard E, Delezoide A, Sebag G, Oury J, Aigrain Y and El-Ghoneimi A (2018) Long-Term Outcome of Prenatally Detected Posterior Urethral Valves: Single Center Study of 65 Cases Managed by Primary Valve AblationJournal of Urology, VOL. 179, NO. 1, (307-313), Online publication date: 1-Jan-2008.WILLIAMS C, PÉREZ L and JOSEPH D (2018) ACCURACY OF RENAL-BLADDER ULTRASONOGRAPHY AS A SCREENING METHOD TO SUGGEST POSTERIOR URETHRAL VALVESJournal of Urology, VOL. 165, NO. 6 Part 2, (2245-2247), Online publication date: 1-Jun-2001.NOH P, COOPER C, WINKLER A, ZDERIC S, SNYDER H and CANNING D (2018) PROGNOSTIC FACTORS FOR LONG-TERM RENAL FUNCTION IN BOYS WITH THE PRUNE-BELLY SYNDROMEJournal of Urology, VOL. 162, NO. 4, (1399-1401), Online publication date: 1-Oct-1999.DUEL B, MOGBO K, BARTHOLD J and GONZALEZ R (2018) PROGNOSTIC VALUE OF INITIAL RENAL ULTRASOUND IN PATIENTS WITH POSTERIOR URETHRAL VALVESJournal of Urology, VOL. 160, NO. 3 Part 2, (1198-1200), Online publication date: 1-Sep-1998.Denes E, Barthold J and Gonzalez R (2018) Early Prognostic Value of Serum Creatinine Levels in Children With Posterior Urethral ValvesJournal of Urology, VOL. 157, NO. 4, (1441-1443), Online publication date: 1-Apr-1997.Kaefer M, Barnewolt C, Retik A and Peters C (2018) The Sonographic Diagnosis of Infravesical Obstruction in Children: Evaluation of Bladder Wall Thickness Indexed to Bladder FillingJournal of Urology, VOL. 157, NO. 3, (989-991), Online publication date: 1-Mar-1997.Kaefer M, Keating M, Adams M and Rink R (2018) Posterior Urethral Valves, Pressure Pop-offs and Bladder FunctionJournal of Urology, VOL. 154, NO. 2, (708-711), Online publication date: 1-Aug-1995. Volume 148Issue 1July 1992Page: 122-124 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.Keywordsurethral obstructionpediatricsurethraultrasonic diagnosisMetricsAuthor Information William C. Hulbert Current address: 309 Doctors Office Building, 1445 Portland Ave., Rochester, New York 14621. More articles by this author Henrietta Kotlus Rosenberg More articles by this author Patrick C. Cartwright Current address: Department of Pediatric Urology, Primary Children’s Medical Center, 100 North Medical Dr., Suite 2200, Salt Lake City, Utah 84113. More articles by this author John W. Duckett More articles by this author Howard McCrum Snyder More articles by this author Expand All Advertisement PDF DownloadLoading ...