It depends.: Much controversy exists re: the assessment & management of hydronephrosis in infants. Asymptomatic hydronephrosis of any grade, without urinary infection & normal renal function can be managed conservatively. The goal is to select those infants with severe obstructive dilatation during serial follow-ups and to perform surgical repair before irreversible deterioration & renal damage occurs.
Answered 12/10/2013
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Probably temporize: Mostly prenatally diagnosed hydronephosis will persist > 1 month. Management depends upon degree of h. Most cases of mild to moderate h will resolve spontaneously & some will persist to certain degree without any problem. Severe h warrants diuretic mag3 nuclear scan to quantitate relative function of each kidney & degree of obstruction. Cystogram if bilateral h. Surgical correction ?Controversial.
Answered 3/30/2013
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