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  • Dr. Arpit V. Joshi - Sevya Orthocare Centre & Superspeciality Clinic, beside Ilaj Medical Store, Ahbab Nagar, Maninagar East, Khokhra, Ahmedabad, Gujarat 380008
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Antenatal Hydronephrosis in Children

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  • Antenatal Hydronephrosis in Children
Overview

Antenatal hydronephrosis is a condition where the kidneys of a fetus become swollen due to urine buildup. This condition is often detected during routine prenatal ultrasounds and can affect one or both kidneys.

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Causes
  • Physiologic Dilation : The most common cause, often benign and resolves on its own
  • Ureteropelvic Junction (UPJ) Obstruction : A blockage where the kidney meets the ureter
  • Ureterovesical Junction (UVJ) Obstruction : A blockage where the ureter meets the bladder
  • Posterior Urethral Valves : A blockage in the male urethra, which is more severe
  • Renal Duplication Anomalies : Presence of two ureters from a single kidney, which can lead to obstruction
  • Multicystic Dysplastic Kidney : A non-functioning kidney due to complete obstruction
Symptoms
  • Prenatal : Detected via ultrasound, showing enlarged kidneys
  • Postnatal : May include urinary tract infections, abdominal pain, or palpable abdominal mass
Diagnosis
  • Prenatal Ultrasound : Detects kidney enlargement and assesses severity
  • Postnatal Imaging : Ultrasound, voiding cystourethrogram (VCUG), or MAG3 scan to evaluate kidney function and drainage
Treatment
  • Observation : Many cases resolve without intervention
  • Antibiotic Prophylaxis : To prevent urinary tract infections in some cases
  • Surgical Intervention : Required for severe obstructions or if kidney function is at risk
Prevention
  • Regular Prenatal Care : Early detection through routine ultrasounds
  • Follow-Up Imaging : Postnatal monitoring to ensure proper kidney function and drainage
When to Seek Medical Attention
  • If the child shows signs of urinary tract infection, such as fever, irritability, or poor feeding.
  • If there is persistent abdominal pain or a noticeable mass in the abdomen
Support and Care

Managing antenatal hydronephrosis involves regular monitoring and, in some cases, surgical intervention. It’s important to provide emotional support to parents and caregivers, reassuring them that many cases resolve without significant issues.

Our Services
Nephrotic Syndrome
Urinary Tract Infection (UTI) in Children
Bed-Wetting in Children
Renal Stones in Children
Antenatal Hydronephrosis in Children
Blood in Urine (Hematuria) in Children

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