Reflections on the management of antenatal hydronephrosis

Hélène Legrand (1), Nathalie Godefroid (2), Axel Feyaerts (3), Stéphane Thiry (3), David Tuerlinckx (4) Published in the journal : January 2021 Category : Pediatrics

Summary :

Antenatal hydronephrosis is the most common congenital abnormality. The post-natal management is, however, still controversial, specifically concerning further testing, as well as and benefit of antibiotic prophylaxis. The systematic indication of performing a voiding cystourethrogram for vesicoureteral reflux screening and of prescribing antibiotic prophylaxis for preventing urinary tract infections has been increasingly questioned by recent study data. A less aggressive approach is discussed here, which is essentially based on post-natal ultrasound findings.

We herein propose an algorithm that is based on these study data.

Key Words

Antenatal hydronephrosis, voiding cystourethrogram, antibiotic prophylaxis, management algorithm