Management strategies for congenital isolated hydronephrosis and the natural course of the disease

Author: Jiwon JUNG ¹ ; Joo Hoon LEE ; Kun Suk KIM ; Sang Hun SONG ; Dae Hyuk MOON ; Hee Mang YOON ; Young Ah CHO ; Young Seo PARK
Author Information

1. Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of Korea
Publication Type:10
From:Childhood Kidney Diseases 2022;26(1):1-10
CountryRepublic of Korea
Language:English
Abstract: Congenital isolated hydronephrosis encompasses a spectrum of physiologic states that spontaneously resolve and pathologic obstruction that necessitates surgical intervention. Distinguishing patients whose condition will resolve, those who will require stringent follow-up, and those who will eventually need surgical intervention present a challenge to clinicians, particularly because no unified guidelines for assessment and follow-up have been established. The recognition of the natural course and prognosis of hydronephrosis and a comprehensive understanding of the currently proposed consensus guidelines may aid in multidisciplinary treatment and in providing proper counseling to caregivers. In this review, we aimed to summarize the literature on the grading systems and management strategies for congenital isolated hydronephrosis.