Prenatal Hydronephrosis: Another Swing of the Pendulum?

Without question the recognition of prenatal hydronephrosis as a diagnostic tool has revolutionized pediatric urology and been of great benefit to our patients. However, one must also acknowledge that the diagnosis comes with significant burdens. Beyond the considerable economic costs there is the anxiety experienced by expectant parents and the physical toll of numerous imaging studies inflicted on these infants and young children. Finding the right balance between not wanting to miss a significant anatomical obstruction and limiting excessive testing and intervention has been a constant challenge with moving goalposts and evolving guidelines.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Editorial Source Type: research