Il ruolo dell'ecografia nella gestione delle uropatie malformative - Fimp

ANTERO-POSTERIOR RENAL PELVIS DIAMETER (RPD) ≥ 4 and ≤ 10 mm
US at birth
RPD RPD RPD RPD increase: increase: increase: increase: the the the the follow follow follow follow--up up up up program program program program UR changes changes changes changes
according according to to the the new new data data
US I st month
UTI/APN: UTI/APN: VCUG/CSG VCUG/CSG for for every every degree degree of of renal renal pelvis pelvis
dilatation dilatation and and even even in in case case of of its its regression regression
RPD < 7 mm RPD ≥ 7 / ≤ 10 mm RPD > 10 / < 15 mm RPD ≥ 15 mm
US IIIrd US III month
rd / VIth Ureter Ureter dilatation dilatation >= >= 0.5 0.5 cm cm and/or and/or renal renal pelvis, pelvis, ureter ureter
month
or or or or bladder bladder bladder bladder wall wall wall wall thickening thickening thickening thickening (> (> (> (> 00 0.08 0.08 08 08 cm): cm): cm): cm): VCU/CSG VCU/CSG VCU/CSG VCU/CSG and and and and
+ UR/month
+ UR/month
passage passage to to upper upper score score
US VI th month
+ UR/month
unchanged unchanged unchanged
Calyceal Calyceal dilatation: dilatation: passage passage to to upper upper score score
STOP US FU
UR/month for
six months
US I st and II nd year
+ UR every two
months
US every six months
for two years +
UR every two months
RPD ≥ 15 mm
DTPA scan