Use of Nephrosonography in Evaluation of Renal Disease in Infants
Indications and contraindications for nephrosonography in infants include: 1. Nephrosonography should be the initial procedure used in evaluating renal structure in infants with renal failure. 2. Nephrosonography may be the initial procedure used in evaluating an abdominal mass or urinary tract infection in infants under 2 weeks of age. Intravenous urography can follow at the appropriate time if indicated. 3. Intravenous urography should be the initial procedure in evaluating abdominal masses or urinary tract infection in infants more than 2 weeks of age. 4. Nephrosonography is a suitable screening procedure when the presence of certain congenital anomalies suggests the possibility of abnormal development of upper urinary tracts. Abnormalities found may require resolution by intravenous urograms. 5. Nephrosonography offers decreased risk in terms of hypersensitivity reactions and radiation exposure in the follow-up evaluation of certain diagnoses and treatment.