RESUMO
To determine the accuracy of antenatal renal pelvis measurement as a screening tool for renal anomalies we reviewed the antenatal ultrasounds performed at our institution over 1 year. Renal pelvis dilation was found in 3.8% of pregnancies followed by our obstetrics department. In nine (17.6%) infants renal anomalies were detected after birth, the remaining cases remained unchanged or resolved over a 1-year postnatal follow-up. In our series dilations of less than 10 mm in utero resolved in the first months after birth while dilations greater than 15 mm were all associated with malformations of the genitourinary tract. The choice of the most appropriate follow-up for dilations between 10 and 15 mm remains an issue because these dilations can herald renal anomalies.
Assuntos
Doenças Fetais/diagnóstico por imagem , Ultrassonografia Pré-Natal , Sistema Urinário/anormalidades , Sistema Urinário/embriologia , Dilatação Patológica , Estudos de Avaliação como Assunto , Feminino , Humanos , Recém-Nascido , Pelve Renal/anormalidades , Pelve Renal/diagnóstico por imagem , Pelve Renal/embriologia , Gravidez , Estudos Retrospectivos , Sistema Urinário/diagnóstico por imagem , Refluxo Vesicoureteral/diagnóstico por imagemRESUMO
Four adolescent males were submitted to hormonal and psychological evaluation 3-8 years after bone marrow transplant. All presented testicular failure, two were submitted to orchiectomy. Androgen replacement therapy was begun at 13 yr 7 mo-17 yr. A psychological evaluation has been performed. Orchiectomy and insertion of artificial testicles do not seem to have affected patients' psychological situation. Individual differences have been found due to many causes.