The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis.
Hiep T Nguyen, C D Anthony Herndon, Christopher Cooper...
https://pubmed.ncbi.nlm.nih.gov/20399145Actively Recruiting
Age: 18Years - 50Years
FEMALE
Healthy Volunteers
ID06317623
Urinary Tract Dilations in Prenatal and Postnatal Life
Led by SonoClinic · Updated on 2024-03-19
200
Participants Needed
1
Research Sites
26 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to understand how medical professionals recognize and manage urinary tract dilation in fetuses and children. It focuses on predicting how severe the condition might become after birth and whether surgical treatment might be needed. The study also seeks to develop a coordinated care model for this condition that can be used by different healthcare specialists to improve patient outcomes. Participants include fetuses diagnosed with urinary tract dilation during pregnancy, divided into groups based on the severity of the dilation. These groups are monitored with ultrasound examinations during the second and third trimesters. After birth, children with persistent dilation are followed by a pediatric nephrologist, with care tailored according to the severity and risk of surgical intervention. Throughout the study, participants will undergo ultrasound scans at the 20th and 32nd weeks of pregnancy, shortly after birth, and at six months of age. Researchers will assess the condition's progression and need for surgery using established classification criteria. The study monitors participants to better predict outcomes and optimize prenatal and postnatal care, lasting from pregnancy through the first six months after birth.
CONDITIONS
Brief Title
Urinary Tract Dilations in Prenatal and Postnatal Life
Who Can Participate
Age: 18Years - 50Years
FEMALE
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Singleton pregnant women with fetuses diagnosed with urinary tract dilation before the 28th week of pregnancy
- Fetuses with follow-up ultrasound control in the third trimester after the 28th week of pregnancy
- Newborns and children with prenatally diagnosed urinary tract dilation requiring postnatal examination by a pediatric nephrologist within one month of birth
- Children followed by a pediatric nephrologist up to six months after birth
You will not qualify if you...
- Multiple pregnancies
- Urinary tract dilation diagnosed in fetuses during the third trimester
- Fetuses with associated anomalies
- Fetuses with aneuploidy
- Newborns and children monitored by doctors other than the selected pediatric nephrologist
- Patients lost to follow-up
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Diagnostic Evaluation
Duration - From around 20 weeks to 32 weeks of pregnancy
Participants undergo prenatal ultrasound examinations in the second and third trimesters to assess urinary tract dilation and are classified into risk groups based on severity.
2 ultrasound visits during pregnancy
Long-term Monitoring
Duration - From birth up to 6 months of child's life
Participants are monitored postnatally by a pediatric nephrologist to track urinary tract dilation progression and need for surgical intervention.
Multiple visits over 6 months after birth
Trial Site Locations
Total: 1 location
1
Svetlana Jánošová
Záborské, Slovakia, 08253
Actively Recruiting
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Research Team
S
Svetlana Jánošová
R
Róbert Dankovčík
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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Published Research Related To This Trial
Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system).
Hiep T Nguyen, Carol B Benson, Bryann Bromley...
https://pubmed.ncbi.nlm.nih.gov/254352472021 update on the urinary tract dilation (UTD) classification system: clarifications, review of the literature, and practical suggestions.
Hiep T Nguyen, Andrew Phelps, Brian Coley...
https://pubmed.ncbi.nlm.nih.gov/34981177Fetal Urinary Tract Anomalies: Review of Pathophysiology, Imaging, and Management.
Achille Mileto, Malak Itani, Douglas S Katz...
https://pubmed.ncbi.nlm.nih.gov/29446682[Orbital phlebography (author's transl)].
E Sugár, J Gáll
https://pubmed.ncbi.nlm.nih.gov/4369632Society for Fetal Urology Classification vs Urinary Tract Dilation Grading System for Prognostication in Prenatal Hydronephrosis: A Time to Resolution Analysis.
Luis H Braga, Melissa McGrath, Forough Farrokhyar...
https://pubmed.ncbi.nlm.nih.gov/29198999Interobserver and Intra-Observer Reliability of the Urinary Tract Dilation Classification System in Neonates: A Multicenter Study.
Caleb P Nelson, Richard S Lee, Andrew T Trout...
https://pubmed.ncbi.nlm.nih.gov/30676479Assessment of urinary tract dilation grading amongst pediatric urologists.
Marisa C Gray, Jacqueline M Zillioux, Briony Varda...
https://pubmed.ncbi.nlm.nih.gov/32430210Do current scientific reports of hydronephrosis make the grade?
Kristina D Suson, Janae Preece
https://pubmed.ncbi.nlm.nih.gov/32345558"1 Voice": Learn urinary tract dilation (UTD) classification to assess fetal & newborn urological ultrasound findings.
Max Maizels, Luis Braga, Edward M Gong...
https://pubmed.ncbi.nlm.nih.gov/29248273