Pyelonectasia of the kidneys in the fetus

Kidney pyeloectasia is a pathology in which there is an anatomical increase in renal pelvis - renal cavity, where urine accumulates. In the pelvis, urine comes from the kidney cups, and then gets into the ureters, through which it is transported to the bladder. The diagnosis of pyeloectasia is an indirect sign that the outflow of urine from the pelvis is disturbed.

Causes of kidney pyelonectasia in the fetus

Pyeloectasia in the fetus may result from abnormal development or due to a hereditary predisposition to pathology. The expansion of pelvis occurs because of the increased pressure of urine inside the kidney. This is due to its difficult outflow. It can be disturbed through the narrowing of the urinary tract, which is located below the pelvis. The ureter may be narrowed due to its inferior development, squeezing the vessel from outside with a spike or a tumor.

But the most frequent provoker of the outflow of urine is reverse flow of urine from the bladder. This is due to a malfunction of the valve, which should prevent this phenomenon.

This pathology is more common in the fetuses of the male fetus. This is due to the peculiarities of the structure of the urinary tract. In boys, enlarged renal pelvic organs are of a physiological nature and kidney pyelonectasia in male children is often a norm, rather than a pathology. Physiological pyelonectasia of the kidneys in the fetus is more often bilateral, than one-sided. These changes need to be observed in the dynamics, only then can the corresponding conclusions be drawn.

Treatment of pyelonectasia

The neurologist determines the procedure for the treatment of pyeloectasia, based on the result of revealing the underlying cause and ways of its elimination. Pyeloectasia of the right or left kidney during pregnancy can be caused by the action of progesterone, an increase in the uterus, which partially compresses the ureters. In such cases it is recommended to be dynamically observed by a specialist in order to avoid complications of pregnancy.

Regardless of whether it is left-sided or right-sided pyeloectasia in the fetus, the child should be under observation by a neonatologist for at least a year. Many cases of anomalies need to be corrected surgically.

Proper prophylaxis is very important, which consists in limiting the use of fluid and eliminating the inflammatory processes of the urinary tract.