How is infant hydronephrosis treated?

How is infant hydronephrosis treated?

Antibiotics after your baby is born to prevent infection, in select cases where infection may be more likely to occur. Surgery to repair any urinary tract blockage, in more severe cases. Prenatal surgery to place a drainage tube in your baby’s bladder, in the most severe cases.

Can hydronephrosis be treated with antibiotics?

How is Hydronephrosis Treated? Hydronephrosis is usually treated by addressing the underlying disease or cause, such as a kidney stone or infection. Some cases can be resolved without surgery. Infections can be treated with antibiotics.

What is antenatal hydronephrosis?

What is antenatal hydronephrosis? Antenatal (before birth) hydronephrosis (fluid-filled enlargement of the kidney) can be detected in a fetus by ultrasound as early as the first trimester of a pregnancy. During pregnancy, this condition is identified in 1 percent of males and 0.5 percent of females.

What is the main diagnostic option for hydronephrosis?

Hydronephrosis is usually diagnosed using an ultrasound scan. Further tests may be needed to find out the cause of the condition. An ultrasound scan uses sound waves to create a picture of the inside of your kidneys. If your kidneys are swollen, this should show up clearly.

Does hydronephrosis go away in infants?

About half of fetuses diagnosed with hydronephrosis have transient hydronephrosis, and the condition goes away before the infant is born. In children who are born with hydronephrosis, the condition is sometimes transient and can go away on its own, usually by the time the child is age 3.

How quickly does hydronephrosis resolve?

About 4 out of every 5 cases will resolve on their own before or within a few months of birth and will cause no long-term problems for you or your baby. The remaining cases may require treatment with antibiotics to prevent kidney infections, and in some cases surgery may be needed.

How long does hydronephrosis take to resolve?

Usually kidneys recover well even if there is an obstruction lasting up to 6 weeks.

Is hydronephrosis an emergency?

Hydronephrosis is a true emergency in patients with only one kidney and should the person believe that the lone kidney is at risk, urgent medical care should be accessed.

Is there postnatal management of antenatally detected hydronephrosis?

Antenatally detected hydronephrosis is amongst the most commonly detected abnormality. The management of this condition has raised considerable debate amongst clinicians dealing with it. This article is written with an idea to provide comprehensive information regarding the postnatal management of antenatally detected hydronephrosis.

What should you do if your baby has hydronephrosis?

Research suggests that, in male infants with hydronephrosis, circumcision may lower the chance of getting urinary tract infections. 4 Surgery If hydronephrosis is severe or gets worse over time, health care professionals may recommend surgery.

When to have an ultrasonography for hydronephrosis?

Once the diagnosis is made then the next ultrasonography can be done in the third trimester between 28-32 wk. However more frequent ultrasounds, every 4-6 wk, will be needed in cases having bilateral hydronephrosis, posterior urethral valves, prune belly syndrome and severe hydronephrosis in a solitary kidney.

When do you need surgery for kidney hydronephrosis?

Hydronephrosis may improve or go away over time. However, if hydronephrosis gets worse or causes complications, a health care professional may recommend surgery. If hydronephrosis in a newborn is not severe and not likely to damage the kidneys, health care professionals may recommend watchful waiting.