Page 122 - Urological Health

Less common causes of hydronephrosis include
ureteroceles, posterior urethral valves and kidney
stones. If your baby’s ultrasound shows signs of Dilated
these problems, you will be given information renal pelvis
about the condition and how it may be treated.
Dilated
ureter
How is hydronephrosis assessed?

Hydronephrosis is graded on a scale of 1 to 4 (from
mild to severe). The grade is helpful in deciding the
plan of care for your baby.

GRADE 0 GRADE 1 GRADE 1I GRADE 1II GRADE IV

Mild hydronephrosis Moderate hydronephrosis Severe hydronephrosis
In grades 1 and 2, there is In grade 3 there is a build-up In grade 4 there is a build-up
a small build-up of urine of urine in the renal pelvis of urine in the renal pelvis and
in the renal pelvis. and calyces. calyces.The renal parenchyma
(where urine is made) is thin.

What care and tests are needed?

Your baby will be referred to a pediatric urologist. As part of your baby’s care, the urologist:
• examines your baby.
• recommends further tests to find out more about your baby’s condition and check how
the kidneys are working.
• helps you understand hydronephrosis and answers your questions.

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