SONOGRAPHICAL NEWBORN SCREENING FOR UROPA THOLOGY - INDICATED OR NOT

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.