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lüll Postnatal evaluation of infants with an abnormal antenatal renal sonogram Becker AMCurr Opin Pediatr 2009[Apr]; 21 (2): 207-13PURPOSE OF REVIEW: Antenatally detected renal abnormalities are frequently encountered. Recommended postnatal evaluation of these infants has evolved to minimize invasive testing while maximizing detection of significant abnormalities. RECENT FINDINGS: There is a low rate of detectable renal abnormalities in infants with a normal postnatal sonogram at 4-6 weeks of age. Routine prophylactic antibiotics are not indicated in infants with isolated antenatal hydronephrosis. Infants with a multicystic dysplastic kidney and a normal contralateral kidney on renal ultrasound do not require further evaluation. Parents of these children should be counseled on symptoms of urinary tract infections to allow prompt diagnosis. SUMMARY: All infants with abnormalities on antenatal sonogram should undergo postnatal evaluation with a sonogram after birth and at 4-6 weeks of age. Further evaluation can be safely limited when the postnatal sonogram is normal at 6 weeks of age.|*Ultrasonography, Prenatal[MESH]|Age Factors[MESH]|Humans[MESH]|Hydronephrosis/*diagnostic imaging[MESH]|Infant, Newborn[MESH]|Multicystic Dysplastic Kidney/*diagnostic imaging[MESH]|Perinatal Care/*methods[MESH]|Prune Belly Syndrome/diagnostic imaging[MESH]|Ureterocele/diagnostic imaging[MESH]|Urinary Tract/abnormalities/diagnostic imaging[MESH]|Vesico-Ureteral Reflux/*diagnostic imaging[MESH] |