Skip to main content

Indications for Investigation of the Urinary Tract in the Newborn

  • Chapter
  • First Online:
Rickham's Neonatal Surgery

Abstract

The urinary tract in the newborn may require investigation for a number of reasons. The urinary tract is the commonest system in which abnormalities are detected during antenatal ultrasonography (USS). The majority will have isolated hydronephrosis, with mild dilatation detected in as many as 1:100 pregnancies. Others will have more significant urological abnormalities thus investigation of the urinary tract is indicated to interpret the antenatal USS findings. Investigation is also indicated for those neonates presenting with urinary tract related symptoms. Equally, in neonates presenting with non-specific symptoms such as failure to thrive, poor feeding or prolonged jaundice, urinary tract pathology should be considered. Finally, there are neonates with congenital anomalies or syndromes with known associated uropathies who require further investigation. The range of such conditions or syndromes in which the urinary tract may be involved is extensive.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Scott JE, Renwick M. Urological anomalies in the Northern Region Fetal Abnormality Survey. Arch Dis Child. 1993:68:22–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Sairam S, Al-Habib A, Sasson S, Thilaganathan B. Natural history of fetal hydronephrosis diagnosed on mid-trimester ultrasound. Ultrasound Obstet Gynecol. 2001;17:191–6.

    Article  CAS  PubMed  Google Scholar 

  3. NICE. Antenatal care: routine care for the healthy pregnant woman. National Institute for Clinical Excellence (NICE) Clinical guidelines. CG62: 2008. London: National Collaborating Centre for Women’s and Children’s Health.

    Google Scholar 

  4. Nguyen HT, Herndon CD, Cooper C, Gatti J, Kirsch A, Kokorowski P, Lee R, Perez-Brayfield M, Metcalfe P, Yerkes E, Cendron M, Campbell JB. The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis. J Pediatr Urol. 2010;6:212–31.

    Article  PubMed  Google Scholar 

  5. Fernbach SK, Maizels M, Conway JJ. Ultrasound grading of hydronephrosis: introduction to the system used by the Society for Fetal Urology. Pediatr Radiol. 1993;23:478–80.

    Article  CAS  PubMed  Google Scholar 

  6. Keays MA, Guerra LA, Mihill J, Raju G, Al-Asheeri N, Geier P, Gaboury I, Matzinger M, Pike J, Leonard MP. Reliability assessment of Society for Fetal Urology ultrasound grading system for hydronephrosis. J Urol. 2008;180:1680–2.

    Article  CAS  PubMed  Google Scholar 

  7. Lee RS, Cendron M, Kinnamon DD, Nguyen HT. Antenatal hydronephrosis as a predictor of postnatal outcome: a meta-analysis. Pediatrics. 2006;118:586–93.

    Article  PubMed  Google Scholar 

  8. Laing FC, Burke VD, Wing VW, Jeffrey RB Jr, Hashimoto B. Postpartum evaluation of fetal hydronephrosis: optimal timing for follow-up sonography. Radiology. 1984;152:423–4.

    Article  CAS  PubMed  Google Scholar 

  9. Dejter SW Jr, Gibbons MD. The fate of infant kidneys with fetal hydronephrosis but initially normal postnatal sonography. J Urol. 1989;142:661–2.

    Article  PubMed  Google Scholar 

  10. Wiener JS, O’Hara SM. Optimal timing of initial postnatal ultrasonography in newborns with prenatal hydronephrosis. J Urol. 2002;168:1826–9.

    Article  PubMed  Google Scholar 

  11. Dhillon HK. Prenatally diagnosed hydronephrosis: the Great Ormond Street experience. Br J Urol. 1998;81(Suppl 2):39–44.

    Article  PubMed  Google Scholar 

  12. : Dhillon HK. Prenatal diagnosis (Chap. 10). In: Thomas DFM, Duffy PG, Rickwood AMK, editors. Essentials of paediatric urology, 2nd edn. London: Informa; 2008. p. 133–42.

    Chapter  Google Scholar 

  13. Walsh TJ, Hsieh S, Grady R, Mueller BA. Antenatal hydronephrosis and the risk of pyelonephritis hospitalization during the first year of life. Urology. 2007;69:970–4.

    Article  PubMed  Google Scholar 

  14. Coelho GM, Bouzada MC, Lemos GS, Pereira AK, Lima BP, Oliveira EA. Risk factors for urinary tract infection in children with prenatal renal pelvic dilatation. J Urol. 2008;179:284–9.

    Article  PubMed  Google Scholar 

  15. Estrada CR, Peters CA, Retik AB, Nguyen HT. Vesicoureteral reflux and urinary tract infection in children with a history of prenatal hydronephrosis—should voiding cystourethrography be performed in cases of postnatally persistent grade II hydronephrosis? J Urol. 2009;181:801–6.

    Article  PubMed  Google Scholar 

  16. American Academy of Pediatrics Committee on Quality Improvement. Subcommittee on Urinary Tract Infection. Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics. 1999;103:843–52.

    Google Scholar 

  17. Rudinsky SL, Carstairs KL, Reardon JM, Simon LV, Riffenburgh RH, Tanen DA. Serious bacterial infections in febrile infants in the post-pneumococcal conjugate vaccine era. Acad Emerg Med. 2009;16:585–90.

    Article  PubMed  Google Scholar 

  18. Hsieh MH, Madden-Fuentes RJ, Roth DR. Urologic diagnoses among infants hospitalized for urinary tract infection. Urology. 2009;74:100–3.

    Article  PubMed  Google Scholar 

  19. NICE. Urinary tract infection in children: Diagnosis, treatment and long-term management. National Institute for Clinical Excellence (NICE) Clinical guidelines. CG54:2007. London: National Collaborating Centre for Women’s and Children’s Health.

    Google Scholar 

  20. Crain EF, Gershel JC. Urinary tract infections in febrile infants younger than 8 weeks of age. Pediatrics. 1990;86:363–7.

    CAS  PubMed  Google Scholar 

  21. Netto JM, Bastos AN, Figueiredo AA, Pérez LM. Spinal dysraphism: a neurosurgical review for the urologist. Rev Urol. 2009;11:71–81.

    PubMed  PubMed Central  Google Scholar 

  22. Kolon TF, Gray CL, Sutherland RW, Roth DR, Gonzales ET Jr. Upper urinary tract manifestations of the VACTERL Association. J Urol. 2000;163:1949–51.

    Article  CAS  PubMed  Google Scholar 

  23. Goossens WJ, de Blaauw I, Wijnen MH, de Gier RP, Kortmann B, Feitz WF. Urological anomalies in anorectal malformations in The Netherlands: effects of screening all patients on long-term outcome. Pediatr Surg Int. 2011;27:1091–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Azzoni R, Gerevini S, Cabitza P. Spinal cord sonography in newborns: anatomy and diseases. J Pediatr Orthop B. 2005;14:185–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Harriet J. Corbett MD, FRCS (Paed) .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer-Verlag London Ltd., part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Corbett, H.J., McAndrew, H.F. (2018). Indications for Investigation of the Urinary Tract in the Newborn. In: Losty, P., Flake, A., Rintala, R., Hutson, J., lwai, N. (eds) Rickham's Neonatal Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4721-3_64

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4721-3_64

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4720-6

  • Online ISBN: 978-1-4471-4721-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics