Antenatal Hydronephrosis, Hydronephrosis in Child Treatment, Delhi - Dr. Prashant Jain
Antenatal Hydronephrosis Introduction: With easy availability of ultrasound screening and improvement in expertise, hydronephrosis is now a very frequently diagnosed problem reported in 1 to 5% of all pregnancies. This has enabled us to have a better understanding of the natural course of the problem and early intervention before it results in permanent renal damage. The distinction between urinary tract obstruction and dilatation remains a challenging problem for clinicians. Still there are no definite guidelines and protocols for evaluation of antenatal hydronephrosis (ANH). Defining antenatal Hydronephrosis and grading of hydronephrosis: Currently, the measurement of Antero-posterior diameter (APD) of the renal pelvis as visualized in transverse plane on ultrasound scan (USG) is most commonly used objective parameter for assessing ANH in utero and during post natal follow up. The measurement allows to classify the severity of hydronephrosis into mild, moderate and severe type. There...