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What Does The Antenatal Scan Report Indicate?

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Posted on Thu, 12 Nov 2015
Question: Hi,

I had my 28 weeks scan on saturday & UPJ obstruction is seen with the child's right kidney. The doctor advised we will evaluate this postnatally. Right side pelvis is of 14.3mm & left side is of 3.6mm.
Please help me understand the cause & problems it may cause to the child after birth.

Thanks,
xxxxx
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
Nothing to be worried .

Detailed Answer:
Hello
Thanks for query.Based on the reports of antenatal scan that you have posted your baby has been detected to have congenital P.U J obstruction of the Rt kidney causing dilatation of Renal pelvis.

During development of kidney and ureter the tube that drains urine from kidney to bladder consists of 3 different units and they join together to form a single tube called ureter .In one in thousand cases there is anomaly in joining of these three portions where the upper portion that is in the kidney fails to unite completely or unites partially causing the narrowing of the junction called Pelvi Ureteric Junction obstruction causing urine from that kidney to get transmitted to bladder and gets accumulated in Renal Pelvis causing dilatation of renal pelvis which becomes bigger than normal .

There is no immediate risk to the life of baby .But has to be investigated in first few weeks after birth and has to be operated to restore the continuity of the ureter so that urine from the kidney will drain down in to bladder .

Hope I have answered your query ,Please do write if you have more questions .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (1 hour later)
Will surgery become necessary for this?
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
It will depend upon the radiological tests done after birth.

Detailed Answer:
Hello

Thanks for follow up .The child will have to undergo investigations like I.V.P and DT DTPA Scan and decision regarding need for surgery will depend upon the results of these tests .

Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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What Does The Antenatal Scan Report Indicate?

Brief Answer: Nothing to be worried . Detailed Answer: Hello Thanks for query.Based on the reports of antenatal scan that you have posted your baby has been detected to have congenital P.U J obstruction of the Rt kidney causing dilatation of Renal pelvis. During development of kidney and ureter the tube that drains urine from kidney to bladder consists of 3 different units and they join together to form a single tube called ureter .In one in thousand cases there is anomaly in joining of these three portions where the upper portion that is in the kidney fails to unite completely or unites partially causing the narrowing of the junction called Pelvi Ureteric Junction obstruction causing urine from that kidney to get transmitted to bladder and gets accumulated in Renal Pelvis causing dilatation of renal pelvis which becomes bigger than normal . There is no immediate risk to the life of baby .But has to be investigated in first few weeks after birth and has to be operated to restore the continuity of the ureter so that urine from the kidney will drain down in to bladder . Hope I have answered your query ,Please do write if you have more questions . Thanks and Regards. Dr.Patil.