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Slovenska pediatrija 2012; 19: 221-229

https://doi.org/

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Review article

UPDATES ON THE EVALUATION OF CHILDREN WITH SUSPECTED URINARY TRACT ANOMALIES

T. Kersnik Levart
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

N. Battelino
Klinični oddelek za otroško nefrologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

M. Kopač
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Ljubljana, Slovenija

R. Rus
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Ljubljana, Slovenija

G. Novljan
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

A. Meglič
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Ljubljana, Slovenija

D. Ključevšek
Služba za radiologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

A. Sedlar
Klinični oddelek za urologijo, Kirurška klinika, Univerzitetni Klinični center Ljubljana, Ljubljana, Slovenija

N. Marčun Varda
Klinika za pediatrijo, Univerzitetni klinični center Maribor, Maribor, Slovenija

Abstract

The last guidelines for the management of children after proven urinary tract infection (UTI) and those in whom urinary tract anomalies are suspected due to other reasons were published in Slovenia in 2008 (1). An updated algorithm for the evaluation of children after proven UTI was published at the end of 2011 (2) and, in this review, an updated algorithm for the evaluation of those children in whom urinary tract anomalies are suspected due to reasons other than UTI is presented. The proposed evaluation of neonates with suspected urinary tract anomalies is presented, including one of the possible classifications of antenatal hydronephrosis (ANH) and proposed recommendations for prenatal investigation. In this subsection the authors conclude with recommendations for the evaluation of neonates with ANH or hydronephrosis detected after birth. Two more sections are then presented on the evaluation of children with a positive family history for urinary tract anomalies and the evaluation of children with the incidental finding of hydronephrosis on ultrasound performed for reasons other than urinary tract complaints.

Key words: hydronephrosis, algorithm, children.