Incidence Based Fetal Urological Counseling Using the Virtual Pediatric Urology Registry: Importance of Insignificant Fetal Pyelectasis (Sonographically Evident Renal Pelvis)

We found that about 13% of cases of fetal renal pelvic dilatation were insignificant because the measurement was below currently accepted cutoffs that merit postnatal followup. However, 20% of these cases in fact showed extensive urological care needs. The Virtual Pediatric Urology Registry provides an array of likely newborn diagnoses in neonates. Counseling by the incidence based method is more effective than by the current cutoff method.