Management of neonatal hydronephrosis.

Abstract:

:Management of neonatal hydronephrosis is a clinical challenge. The natural history of hydronephrosis has shown that most resolve spontaneously; however, there are a significant number that do not. Although hydronephrosis does not always mean obstruction, it becomes the clinician's role to determine when obstruction will eventually lead to renal damage. Work-up of hydronephrosis diagnosed prenatally starts with a postnatal ultrasound. Using the Society of Fetal Urology (SFU) grading of hydronephrosis based on ultrasonography, a management and treatment algorithm can be constructed. Other studies include a voiding cystourethrogram to evaluate for vesicoureteral reflux or in severe cases of bilateral hydronephrosis to evaluate for posterior urethral valves. Diuretic renography is useful in many cases to evaluate the degree of obstruction and determine differential renal function. The goal is to select the patients who would benefit from early surgical intervention. To achieve that goal, aggressive observation is often required.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Belarmino JM,Kogan BA

doi

10.1016/j.earlhumdev.2005.11.004

keywords:

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

9-14

issue

1

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(05)00270-7

journal_volume

82

pub_type

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