4 doctors weighed in:

What's the treatment for a child who has hydronephrosis?

4 doctors weighed in
Dr. David Vandersteen
Pediatrics - Urology
2 doctors agree

In brief: Observe vs repair

Most cases of hydronephrosis in children do not require treatment.
In general, it is caused by either partial obstruction of the ureter or bladder, by reflux up the ureter from the bladder, or by large urine production. In many cases, it is none of the above. It is important to have an evaluation to understand its cause and to determine the best means of observing it for deterioration.

In brief: Observe vs repair

Most cases of hydronephrosis in children do not require treatment.
In general, it is caused by either partial obstruction of the ureter or bladder, by reflux up the ureter from the bladder, or by large urine production. In many cases, it is none of the above. It is important to have an evaluation to understand its cause and to determine the best means of observing it for deterioration.
Dr. David Vandersteen
Dr. David Vandersteen
Thank
Dr. George Klauber
Pediatrics - Urology
1 doctor agrees

In brief: ? How obstructed

Most cases of mild and many moderate hydronephrosis need no treatrment.
Severe hydronephrosis in kids with high degree of outflow obstruction +/or reduced function with hyronephrosis require pyeloplasty surgery. Involves excising obstructing segment & rejoining ureter to kidney. Hydronephrosis due to high grade reflux or lower end ureteral obstruction may require uretero-vesicoplasty surgery.

In brief: ? How obstructed

Most cases of mild and many moderate hydronephrosis need no treatrment.
Severe hydronephrosis in kids with high degree of outflow obstruction +/or reduced function with hyronephrosis require pyeloplasty surgery. Involves excising obstructing segment & rejoining ureter to kidney. Hydronephrosis due to high grade reflux or lower end ureteral obstruction may require uretero-vesicoplasty surgery.
Dr. George Klauber
Dr. George Klauber
Thank
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