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Does antenatal pelvic dilation predict renal scarring?
  1. N D Plant1,
  2. R J Hornung1,
  3. M G Coulthard1,
  4. M J Keir3,
  5. J N S Matthews4,
  6. S C Robson2
  1. 1Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle NE1 4LP, UK
  2. 2Department of Fetal Medicine, Royal Victoria Infirmary
  3. 3Department of Medical Physics, Royal Victoria Infirmary
  4. 4Department of Medical Statistics, University of Newcastle, Newcastle NE1 7RU
  1. Correspondence to:
    Dr Plant
    Department of Paediatric Nephrology, Royal Manchester Children’s Hospital, Hospital Road, Pendlebury, Manchester M27 4HA, UK; nick.plantcmmc.nhs.uk

Abstract

Moderate antenatal renal pelvic dilation (5–15 mm) may suggest vesicoureteric reflux, but it is not known to predict renal scarring. Dimercaptosuccinic acid scans on such children aged over 4 years showed a scarring rate (0/133 boys, 1/56 girls) similar to our local population. Investigation and treatment of moderate dilation may not be required.

  • antenatal
  • renal pelvic dilation
  • renal scarring
  • urinary tract infection
  • vesicoureteric reflux

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Footnotes

  • Competing interests: none declared

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