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Doctor insights on: Fetal Renal Pyelectasis

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Can fetal pyelectasis be fatal?

Can fetal pyelectasis be fatal?

No.: Fetal pyelectasis refers to borderline prominence of the renal collecting system and is defined as >4 mm by 20 weeks; >7 mm between 20-30 weeks and >8 mm after 30 weeks. It is seen in 3% of all pregnancies associated with polyhydramnios and diabetes mellitus. It is a very weak marker of increased risk for fetal down syndrome but never causes mortal risk. Neonatal follow-up is required! ...Read more

Dr. Michael Swor
Board Certified, Gynecology
34 years in practice
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Fetal ultrasound showed enlarged renal pelvis and large head. So could it be a syndrome?

Fetal ultrasound showed enlarged renal pelvis and large head. So could it be a syndrome?

May or may not.: Enlarged renal pelvises are common urinary tract anomalies. A large head can be familial. So not likely. But then there is much ultrasound can't diagnose. Just have to wait and see. ...Read more

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Dr. Michael Swor
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25wk fetal boy; us shows eif, and both dilated kidneys 5.2mm/5.8mm pyelectasis, normal quad screen testing, should I be worried? Is this serious?

25wk fetal boy; us shows eif, and both dilated kidneys 5.2mm/5.8mm pyelectasis, normal quad screen testing, should I be worried? Is this serious?

On the fence. If : There were > 2 markers, especially if they included nuchal thickening ; hyperechoic bowel , your OB would have offered a genetic amniocentesis to rule out aneuploidy, an abnormal # of fetal chromosomes. Ask to see a fetal-maternal medicine specialist who can review fetal growth ; markers, do a super-high-tech fus ; maybe a fetal echocardiogram. Then make an informed decision about amnio. ...Read more

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For my fetus, all my usg were normal till 30 weeks. Now at 32 weeks it shows that fetus has pyelectasis at 8.2 mm.Can pyelectasis develop so suddenly?

For my fetus, all my usg were normal till 30 weeks. Now at 32 weeks it shows that fetus has pyelectasis at 8.2 mm.Can pyelectasis develop so suddenly?

Fetal growth is fast: The fetus is constantly growing rapidly and logarithmically to become the little baby you get to see at the end of 9 months from being a single celled embryo. By 3 weeks many of the eyes, ears, and such are already developed. So, the rest is occurring at rapid pace. It's amazing how automatically the human fetus is programmed to develop perfectly as time moves on. There are even neonatal surgeons! ...Read more

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My fetus has pyelectasis. Could she also have ds?

My fetus has pyelectasis. Could she also have ds?

Ask your OB: I assume they have done the proper testing , most babies that have pyelectasis which is not totally uncommon do not have ds but if u are worried please discuss with your obgyn. ...Read more

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I am 37 weeks pregnant. My afi is 219 and my baby has bilateral pyelectasis (one 33/52 and the other 37/32). Should i be concerned?

I am 37 weeks pregnant. My afi is 219 and my baby has bilateral pyelectasis (one 33/52 and the other 37/32). 
Should i be concerned?

Prenatal pyelectasis: Prenatal pyelectasis is common , the current reccomendation is to get postnatal ultrasound exam. Of the kidneys and bladder at 36-48 hours prior to discharge and repeat the exam at 4-6 weeks, if the dilation persist you should consult a pediatric urologist in your area , if the early (36 hrs) ultrasound study show bilateral hydronephrosis in a baby boy a voiding cystourethrogram is reccomended. ...Read more

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What does dilated fetal kidneys with normal amniotic fluid mean for a second trimester fetus?

What does dilated fetal kidneys with normal amniotic fluid mean for  a second trimester fetus?

No big deal.: Detecting renal problems by fetal ultrasound is very accurate and efficient because it can prevent serious complications postnatally. Fetal renal pyelectasis or even hydronephrosis is nothing to worry about, provided the amniotic fluid is monitored and remains normal. The neonatology team should be notified at birth to institute appropriate follow-up for the newborn; monthly ultrasounds are needed. ...Read more

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At 20 week ultrasound, the baby's kidney showed renal pelvis dilation with calyceal dilation at 6 mm for both kidneys. There was no blockage in ureter. Opinions?

No question here: If you are asking "is there blockage in the ureter?" then the answer is possibly. Significant dilation in early gestation increases this risk. It is important to know that dilation (hydronephrosis) can occur without obstruction as well. If the amniotic fluid is low, see a pediatric urologist for prenatal consultation, particularly if you are having a boy (risk of urethral obstruction is high). ...Read more

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I'm 21 weeks pregnant my baby has right renal pelvis measures 0.63 cm; and left renal pelvis measures 1.39 cm. What should I do?

I'm 21 weeks pregnant my baby has right renal pelvis measures 0.63 cm; and left renal pelvis measures 1.39 cm. What should I do?

Pyelectasis: That is called pyelectasis vs hydroneprhosis of the kidney. Talk to you mfm ( maternal fetal medicine) doctor or get a consult. ...Read more

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Dr. Michael Swor
Board Certified, Gynecology
34 years in practice
3.0M people helped
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