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Suspected PUV in anomaly scan
My wife is 23 weeks pregnant and in her 22nd week anomaly scan we got this update -
Impression :
Single gestation corresponding to a gestational age of 22 Weeks 1 Day Gestational age assigned as per LMP
Placenta - Anterior
Presentation - Variable
Liquor - Adequate
Estimated fetal weight according to BPD,HC,AC,FL :- 554 + / - 55.4 gms.
BILATERAL HYDRONEPHROSIS WITH LOWER URINARY TRACT OBSTRUCTION - SUGGESTIVE OF POSTERIOR URETHRAL VALVE - Suggested peadiatric urologist consultation
Right renal pelvis 8.4mm
Left renal pelvis 6.9mm
SDP = 5.1
Please suggest we are super worried
Answers (11)
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Your baby’s kidneys are showing mild–moderate hydronephrosis (right 8.4 mm, left 6.9 mm), most likely due to PUJ obstruction. This is a common finding and usually improves on its own.
Nothing needs to be done right now. We will repeat the ultrasound at 28 weeks and again around 32 weeks to monitor it.
Your amniotic fluid and baby’s growth are important, and if those stay normal, there is no risk to the baby during pregnancy.
After birth, the baby will get a kidney ultrasound to check again, and most babies do not need surgery.
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Consult a fetal medicine specialist and paediatric urologist as one kidney falls under moderate and other is in mild range. Serial ultrasounds are required to see for progression of hydronephrosis. Genetic evaluation is also needed. 50% of the cases require surgery.
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Worrying is not going to help
Nothing can be offered at 23 weeks
The baby would require an ultrasound within 6 weeks following delivery and treatment can be offered accordingly
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Pls connect for online consultation and advice
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Dr. Sanhita Soubhari Sharma
Gynecologist
7 yrs exp
Mathura
Connect
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Dr. Nirav Jetani
Gynecologist
11 yrs exp
Vadodara
Fetal medicine specialist opinion and pediatric Urologist opinion needed
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Dr. Alisha Goyal
Gynecologist/Obstetrician
7 yrs exp
Gurgaon
No need to worry.
PUV has complete cure. 50% cases resolves on its own. Only Ultrasound monitoring is required.
Consult a pediatric urologist so that any intervention if required after delivery can be done with safe hands.
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Dr. Mangal Puri
Gynecologist/Obstetrician
49 yrs exp
Pune
Mostly, with the growth of the fetus , it disappears. You need to keep monitoring with the help of USG,
For your comfort and proper advice, I suggest you to consult a fetal medicine specialist around you.
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Dr. Sravya Naramchetti
Gynecologist/Obstetrician
8 yrs exp
Visakhapatnam
Please discuss the further action with an paediatrician and take the necessary action
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Dr. Pushpa Gour
Gynecologist
32 yrs exp
Bhopal
Consult
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
Connect
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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.