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Current Urology Reports
Published in: Current Urology Reports 8/2014

01-08-2014 | Pediatric Urology (M Castellan and R Gosalbez, Section Editors)

Prenatal Hydronephrosis: Postnatal Evaluation and Management

Authors: Vijaya Vemulakonda, Jenny Yiee, Duncan T. Wilcox

Published in: Current Urology Reports | Issue 8/2014

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Abstract

Congenital hydronephrosis is one of the most common anomalies identified on antenatal ultrasound. The underlying etiology of congenital hydronephrosis is multifold, ranging from transient hydronephrosis in utero to clinically significant congenital anomalies of the kidney and urinary tract. While traditional management of hydronephrosis was aimed at relieving symptoms, the advent of routine prenatal ultrasound has led to a shift in the goal of treatment to prevention of renal injury in the asymptomatic patient. However, despite this focus on renal preservation, the diagnostic criteria for identification of children “at risk” for renal damage that can be alleviated by surgical treatment remain a subject of debate. Both antenatal and postnatal imaging studies have been evaluated as indicators for potential reversible renal damage and have been used as potential indicators of the need for surgical intervention. The aim of this review is to discuss the current literature regarding the role of postnatal clinical and radiographic evaluation to identify children who may benefit from early surgical intervention.
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Metadata
Title
Prenatal Hydronephrosis: Postnatal Evaluation and Management
Authors
Vijaya Vemulakonda
Jenny Yiee
Duncan T. Wilcox
Publication date
01-08-2014
Publisher
Springer US
Published in
Current Urology Reports / Issue 8/2014
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-014-0430-5

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