Je. Wildberger et G. Alzen, SONOGRAPHICAL NEWBORN SCREENING FOR UROPA THOLOGY - INDICATED OR NOT, Monatsschrift fur Kinderheilkunde, 143(5), 1995, pp. 521-524
Methods: Within two years 1423 children aged less than 2 years were ex
amined because of suspected uropathology by ultrasound. The results we
re compared to studies using general sonographical screening for the d
etection of congenital uropathology. Results: During our study period
14313 children were born in the district. 88 cases of congenital uropa
thology (0.61%) were found, 62 children (0.43%) showed a dilatation of
urinary tract, 28 children (0.2%) required surgical intervention. Dia
gnosed ureteropelvic junction obstruction occurred only half as often
than observed by authors applying a general screening program (0.11% v
s. 0.26% resp. 0.2%), whereas vesicoureteric reflux was seen more ofte
n in our study (0.15% vs. 0.11%). Conclusions: The high rate of detect
ed uropathology went along with symptomatic renal diseases urinary tra
ct infection and urosepsis. Ultrasound in clinically suspect children
as well as a general sonographic screening are not sufficient enough i
n detecting congenital uropathology. Therefore, at least patients with
high risk for reflux should be examined generously by means of a sono
graphic reflux study.