Congenital anomalies of the kidney and urinary tract: antenatal diagnosis, management and counselling of families

Walker, Emma Y. X.; Winyard, Paul; Marlais, Matko

doi:10.1007/s00467-023-06137-z

Congenital anomalies of the kidney and urinary tract: antenatal diagnosis, management and counselling of families

Document detail

ID

doi:10.1007/s00467-023-06137-z...

Author

Walker, Emma Y. X. Winyard, Paul Marlais, Matko

Langue

Editor

Springer

Year

2023

listing date

9/6/2023

Keywords

congenital anomaly of the kidney a... cakut children ultrasound multidisciplinary team counselling antenatal anomalies

Metrics

Abstract

Congenital anomalies of the kidney and urinary tract are collectively one of the most commonly diagnosed antenatal conditions.

Clinicians have several tools available to diagnose anomalies, including imaging, biomarkers, family history and genetic studies.

In certain cases, antenatal interventions such as vesico-amniotic shunting may be considered to improve postnatal outcomes.

Congenital kidney anomalies detected antenatally can vary in clinical significance from almost no impact postnatally to significant morbidity and perinatal mortality.

Prognosis broadly depends on kidney size, structure and amount of amniotic fluid, alongside genetics and family history, and progression on subsequent scans.

It is important to counsel parents appropriately using a parent-focused and personalised approach.

The use of a multidisciplinary team should always be considered.

Walker, Emma Y. X.,Winyard, Paul,Marlais, Matko, 2023, Congenital anomalies of the kidney and urinary tract: antenatal diagnosis, management and counselling of families, Springer