Q:

A 2 month old girl has an ante-natal diagnosis of right hydronephrosis. Postnatal serial US exams revealed increasing dilatation of the right pelvicalyceal system. No reflux was demonstrated on a MUCG. Appropriate management should include?

waelhammad
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2022-11-04
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A 2 month old girl has an ante-natal diagnosis of right hydronephrosis. Postnatal serial US exams revealed increasing dilatation of the right pelvicalyceal system. No reflux was demonstrated on a MUCG. Appropriate management should include?

  1. Surgical repair
  2. Intermittent catheterization
  3. Diuresis renography
  4. Anticholinergic agents
  5. Phenylpropanolamine
  6. Gellhorn pessary
  7. Biofeedback-assisted behavioral treatment
  8. Oral Estrogen therapy
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waelhammad
2022-11-04
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The key is C. Diuresis renography. [Antenatal hydronephrosis and increasing postnatal hydronephrosis on US should go for Diuresis renography for evaluation of possible pyeloplasty].

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