Congenital urinary tract dilation: when is it clinically significant and when should it prompt intervention?
Gunes Isik, Cemil Oktay · 2026
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Description
Gunes Isik and Cemil Oktay study children born with a widened urinary tract, the most common urinary finding on prenatal scans. Most cases resolve on their own, but doctors still debate when follow-up imaging or surgery is needed. The team reviewed cases at one Turkish clinic from 2021 to 2023, sorting children by the width of the dilation on ultrasound.
Of 341 children, about 36 percent had severe dilation. The widening resolved in 96.2 percent, usually within about eleven months. Surgery was needed in 22.6 percent, mostly for a blocked junction or backward urine flow, and it was far more common in severe cases. Severe dilation also tracked with family history, past urinary infections, and reduced kidney function. A width of 17 millimeters or more predicted surgery with good accuracy. The authors offer these markers as practical guides for deciding which children need intervention and which can simply be watched.
Catalog record
| CREATOR | Gunes Isik, Cemil Oktay |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |