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Renal agenesis natural history, complications and prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]

Overview

Complications of unilateral renal agenesis (URA) may include signs of renal injury such as: hypertension, microalbuminuria and chronic kidney disease. Prognosis of bilateral renal agenesis (BRA) is extremely poor, and the mortality rate is 100% without prenatal therapy with serial amnioinfusion.

Natural History, Complications, and Prognosis

Natural History

Patients with unilateral renal agenesis (URA) may usually be asymptomatic but may progress to renal insufficiency and end stage renal disease (ESRD).[1]

Complications

Complications of unilateral renal agenesis (URA) may include signs of renal injury such as:[2]

Prognosis

References

  1. ↑ Xu Q, Wu H, Zhou L, Xie J, Zhang W, Yu H; et al. (2019). “The clinical characteristics of Chinese patients with unilateral renal agenesis”. Clin Exp Nephrol. 23 (6): 792–798. doi:10.1007/s10157-019-01704-x. PMID 30734167.
  2. ↑ Westland R, Schreuder MF, Ket JC, van Wijk JA (2013). “Unilateral renal agenesis: a systematic review on associated anomalies and renal injury”. Nephrol Dial Transplant. 28 (7): 1844–55. doi:10.1093/ndt/gft012. PMID 23449343.
  3. ↑ Huber C, Shazly SA, Blumenfeld YJ, Jelin E, Ruano R (2019). “Update on the Prenatal Diagnosis and Outcomes of Fetal Bilateral Renal Agenesis”. Obstet Gynecol Surv. 74 (5): 298–302. doi:10.1097/OGX.0000000000000670. PMID 31098643.
  4. ↑ Dias T, Sairam S, Kumarasiri S (2014). “Ultrasound diagnosis of fetal renal abnormalities”. Best Pract Res Clin Obstet Gynaecol. 28 (3): 403–15. doi:10.1016/j.bpobgyn.2014.01.009. PMID 24524801.

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