Pediatric congenital hydronephrosis (ureteropelvic junction obstruction): Medical management guide

39Citations
Citations of this article
111Readers
Mendeley users who have this article in their library.

This article is free to access.

Abstract

The prevalence of asymptomatic hydronephrosis, now detected by ultrasonography, has increased. However, definitive management guidelines for the management of congenital hydronephrosis have not been established. The Japanese Society of Pediatric Urology created a “medical management guide” based on new findings for physicians practicing pediatric urology. We developed a medical management guide focused on congenital hydronephrosis caused by ureteropelvic junction obstruction. This medical management guide consists of the definition, pathophysiology, epidemiology, diagnosis, classification, treatment using a clinical management algorithm of hydronephrosis and the long-term course of the disease. The aim of hydronephrosis management is to determine whether surgery should be carried out to avoid renal dysfunction, as there is a possibility for improvement without intervention. Ultrasonography is essential to make treatment decisions. Management is determined by a comprehensive assessment, including the degree of hydronephrosis, anterior–posterior diameter of the renal pelvis and, if necessary, a nuclear medicine evaluation of the status of urine drainage and renal function.

Cite

CITATION STYLE

APA

Kohno, M., Ogawa, T., Kojima, Y., Sakoda, A., Johnin, K., Sugita, Y., … Kubota, M. (2020). Pediatric congenital hydronephrosis (ureteropelvic junction obstruction): Medical management guide. International Journal of Urology, 27(5), 369–376. https://doi.org/10.1111/iju.14207

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free