This to certify that International Research and Publications in Medical Sciences (IRPMS) editorial team has considered to present the best paper award to the corresponding author Kristine Joy G. Boholst, Noli A. Cabildo, David Vi for publishing his outstanding research paper in IRPMS, Volume-3, Issue-4, Oct-Dec entitled as 1. FACTORS FOR TUBERCULOSIS TREATMENT RELAPSE AMONG PATIENTS PREVIOUSLY TAKING CATEGORY 1 STANDARD TUBERCULOSIS TREATMENT REGIMEN IN SELECTED MUNICIPALITIES OF ILOCOS SUR.
editor@ irpms.com, irpmseditor@gmail.com +91 9427222776
Vishva Chauhan, Chetan Mehta, Harshad Wankhade, Dhruti Maisuri, Ayaz Dabiwala
ABSTRACT
Background & Aim: To study the pattern and prevalence of urinary tract anomalies, which can be diagnosed by USG during the antenatal period and to look for any associated anomaly. Material & Method: This study was carried out on a total of 1750 patients in SSG Hospital Vadodara. All the patients had come for their routine ante-natal screening. All USGs were done using curvilinear low frequency (3 -5 MHz) transducers. Results: Out of the 1750 patients studied over a period of 8 months, 19 patients were found to be having urinary tract anomalies. The prevalence of urinary tract anomaly in our study was 10.86 per 1000 fetuses (1.08%). In our study of the 19 fetuses with urinary tract anomalies, 2 had unilateral absent kidney, 2 fetuses were of Cystic renal dysplasia, 2 had ectopic kidneys and 1 patient, each of PUJ obstruction, vesicoureteric reflux, megaureter and posterior urethral valve giving the typical key hole appearance of the bladder. There were 2 fetuses with bilateral absent kidneys, oligohydramnios and pulmonary hypoplasia (Potter's sequence) which had to be terminated. Associated anomalies detected were of prune belly syndrome in association with megaureter. There were 2 fetuses with bilateral echogenic kidneys associated with absent radius. A fetus with bilateral cystic renal dysplasia also had associated hemi-vertebra and pulmonary hypoplasia. In our study, 26 % of the patients reflected changes in liquor be it oligohydramnios or polyhydramnios and 21 % of the patients had to be terminated prematurely as the anomalies wouldn’t have sustained in the late gestation. Conclusion: Urinary tract anomalies can be precisely diagnosed and classified in the antenatal period using ultrasonography imaging and it can be helpful in planning immediate postnatal care.
Key-words: Congenital anomaly, Urinary tract anomaly, Hydronephrosis, Antenatal.