PREGNANCY-BIRTH Messages for November, 1999: Re: dilated fetal kidney's

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Re: dilated fetal kidney's - Dr. Marchbein, more questions..

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 14 Nov 1999 10:38:40 -0600 (CST)

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At Sun, 14 Nov 1999, Marshella wrote: >
>At Fri, 12 Nov 1999, Harvey S. Marchbein, M.D. wrote:
>
>>>Could you please explain to me why this would be the case and what action they would take if the problem still persists at 32 weeks.
>>
>>It's frequently a boy-penis-urethra thing. Commonly called posterior
>>urethral valve syndrome (I'm presuming here with only your description
>>to go on). If it persists (and it will) nothing will be done unless
>>there is a large increase. Depending upon the increase, delivery may be
>>indicated in a very rare number of cases.
>
>>>If they take no action till the birth, what care will my child
>>>need?
>>
>>Sonogram and /or IVP (kidney Xray) while in the nursery.
>
>Hi Dr. Marchbein,
>
>My boy has also been scheduled for a follow up ultrasound due to this
>dilated kidney thing. I am presuming it was mild as the doctor didn't
>seem particularly concerned and there was no urgency in scheduling the
>follow up. I am wondering - if the amount of dilation is not medically
>significant as to require correction/treatment, what effect could this
>dilation have on the baby's frequency and control of urination (could
>this possibly cause difficulty at a later age with learning to use the
>toilet or with bedwetting?), could it correct itself as the child grows,
>and at what point do the doctors determine that there actually is a
>dilation -- is this based on a statistical average of some sort much
>like a growth percentile or weight percentile? How is the amount of
>dilation measured, is this a measurement of the total size of the
>kidney, or how otherwise??

If it remains medically insignificant, don't worry. No treatment, no increase the risk of future problems. Dilatation is measured as an absolute number in millimeters, not in comparison to anything else.

>Thank you for your generous donation of your time to answer these and
>other questions on this board, I am very happy this resource exists!
>
>--
>Marshella (and son due 2/10/00 after 5.5 yrs infertility)

If your happy with the Women's Forum, I'm pleased. Send friends. The more the merrier, if even just to read and learn. That's the best way anyone can thank us for the service we provide. Let others learn from this site.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Alfonso: "feeling better"
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