Pediatric Urology

Pediatric Hydronephrosis

Swelling of a child's kidney seen on ultrasound, often detected before birth. Many mild cases resolve without intervention.

Overview

Antenatal or infant hydronephrosis is common. Most cases are mild and monitored with ultrasound. Significant or worsening swelling is investigated for causes such as PUJ obstruction or reflux, and surgery is reserved for cases where kidney drainage or function is threatened.

Common symptoms

  • Usually none — detected on ultrasound
  • Occasionally urinary infections or flank pain in older children

When to see a urologist

Follow the monitoring plan advised after detection; worsening swelling, infection or pain needs review.

This website provides general educational information and is not a substitute for an individual medical consultation. Diagnosis and treatment should be based on assessment by a qualified healthcare professional.