- Journal
- UROLOGY
- Année
- 2010
- Volume
- 76
- Numéro
- 1
- Pages
- 190-194
- Mois
- JUL
- DOI
- 10.1016/j.urology.2010.03.030
Abstract
OBJECTIVES We evaluated functional outcome of kidneys with fetal urinoma associated to ureteropelvic junction obstruction. METHODS We retrospectively reviewed 5 cases of antenatally diagnosed urinoma associated to hydronephrosis. Prenatal imaging work-up consisted of ultrasound ( US) and magnetic resonance (MR) examination. Differential renal function was assessed postnatally with renal scintigraphy. RESULTS Four male fetuses and 1 female fetuse presented with urinoma with hydronephrosis diagnosed by US at 24-25 weeks gestational age and confirmed by MRI examination at 28-29 weeks gestational age. On postnatal US, urinoma had disappeared in 4 cases. Parenchyma of the affected kidney was poorly differentiated in all cases. Ureteropelvic junction obstruction was confirmed in the 5 cases. Renal scintigraphy revealed poor functioning kidney (1%) in 2 cases, no function in 1 case, and impaired function in 2 cases (17%). CONCLUSIONS Association of upper urinary tract dilatation caused by ureteropelvic junction obstruction and prenatally diagnosed urinoma may suggest a poor ipsilateral functioning kidney. UROLOGY 76: 190-194, 2010. (C) 2010 Elsevier Inc.