31/10/2023
BILATERAL FETAL HYDRONEPHROSIS
THINGS TO NOTE
Causes: Fetal hydronephrosis can have various causes, including congenital abnormalities, such as ureteropelvic junction (UPJ) obstruction, vesicoureteral reflux (VUR), or posterior urethral valves (PUV). It can also occur due to non-obstructive causes, such as transient or physiologic hydronephrosis, where the condition resolves on its own without treatment.
Diagnosis: Fetal hydronephrosis is often diagnosed through routine prenatal ultrasounds. The severity of the condition is assessed by measuring the dilation or swelling of the renal pelvis (the part of the kidney where urine collects) and the ureters (tubes that carry urine from the kidneys to the bladder). The grading system varies but typically ranges from mild to severe.
Management: The management of fetal hydronephrosis depends on its cause and severity. In some cases, especially when the condition is mild and not causing any immediate problems, no treatment may be needed. However, in more severe cases or when an obstruction is present, intervention may be required.
Follow-Up: After birth, infants with a history of fetal hydronephrosis are typically monitored closely by pediatricians and urologists. This follow-up is essential to assess kidney function, track the resolution or progression of the condition, and determine if any further treatment or intervention is necessary.
Prognosis: The long-term outlook for infants with fetal hydronephrosis depends on several factors, including the cause and severity of the condition and the promptness and success of any necessary treatments. Many cases of mild hydronephrosis resolve on their own without causing long-term kidney damage, while more severe cases may require ongoing medical management..
It's important for parents to work closely with healthcare professionals to understand the specific nature of their child's condition and to ensure appropriate care and monitoring. Early detection and management can significantly improve outcomes for infants with fetal hydronephrosis.
