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Fetal kidney shows Promine Renal pelvis
Hi Doctor ,
Recently we did anamoly scan at 20 week.
As per report right renal pelvis size is 2.6 mm and left relanl pelvis size is 2.5 mm
As per report it's not good .
Please suggest what should be next step ?
Answers (2)
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Dr. Sourabh Gupta
Nephrologist
14 yrs exp
Noida
Fetal hydronephrosis (dilation of the renal pelvis with or without dilation of the renal calyces) is a common finding on antenatal ultrasound . In most cases, renal pelvic dilation is a transient physiologic state.
majority of cases of fetal hydronephrosis are not clinically significant, and therefore, excessive concern may lead to unnecessary testing of the newborn infant and anxiety for parents and health care providers
Most experts in the field use a value above 4 to 5 mm as the lowest cutoff for fetal hydronephrosis in the second trimester. Gestational age, maternal hydration, and the urinarybladder distention may affect its variability.
Next Steps
Ask the radiologist about any possible abnormalities is the urinary bladder, ureter. How are the kidneys appearing. what's the state of amniotic fluid amount?
is there any other nonrenal anomalies?
if answer to all above questions is normal, don't panic, repeat USG in Third Trimester to look for it again.
hope this helps.
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Dr. Mahendra Sharma
Urologist
15 yrs exp
Delhi
I think you must consult a paediatric urologist.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.