Delayed Presentation of Ureteropelvic Junction Obstruction and Loss of Renal Function after Initially Mild (SFU Grade 1-2) Hydronephrosis

Diana K. Bowen, Elizabeth B. Yerkes, Bruce W. Lindgren, Edward M. Gong, Mark A. Faasse*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

We report 4 pediatric cases of ureteropelvic junction obstruction involving delayed progression of initially mild postnatal hydronephrosis. All 4 children became symptomatic; however, 3 already had a substantial decrement of ipsilateral kidney function by the time of diagnosis. Two of these 3 patients had previous renal scintigraphy demonstrating normal differential function. We caution that counseling regarding hydronephrosis should emphasize the importance of prompt re-evaluation for any symptoms potentially referable to delayed presentation of ureteropelvic junction obstruction, irrespective of initial hydronephrosis grade. Future studies are needed to determine the optimal follow-up regimen for conservative management of hydronephrosis.

Original languageEnglish (US)
Pages (from-to)168-170
Number of pages3
JournalUrology
Volume86
Issue number1
DOIs
StatePublished - Jul 1 2015

ASJC Scopus subject areas

  • Urology

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