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Primary vesico-ureteral reflux prenatally diagnosed, with particular evolution
This study aims to assess a case of severe vesico-ureteral reflux (VUR) admitted at 6 weeks of age with urinary infection and azotate retention, with antenatal ultrasound suspicion of bilateral hydronephrosis. The authors present diagnosis and therapeutic methods, analyzing the factors for unfavorable outcome, the complications and the problems of long-term follow-up. Antenatal discovery of a bilateral hydronephrosis requires the specific investigations since the very first days of life, for an early etiologic diagnosis and initiation of prophylactic measures.
Key words: antenatal hydronephrosis, vesicoureteral reflux, urinary tract infection, child