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Hydronephrosis: How We Treat

How is hydronephrosis treated?

At some point, your child’s hydronephrosis will be classified (as mild, moderate or severe) and graded (from 1 to 4, with 4 being the most serious) as unilateral (occurring in one kidney) or bilateral (occurring in both kidneys). Based on these classifications, a treatment plan will be determined.

Treatment of hydronephrosis varies depending on the cause and the severity of the condition. In cases caused by mild obstruction, the child may only need to be monitored with regular ultrasound scans, because the condition may improve or resolve on its own. In moderate-to-severe cases of hydronephrosis, severe unilateral hydronephrosis or severe bilateral hydronephrosis, treatment may include antibiotics with serial radiologic testing (scans).

Imaging studies are used to decide if surgical treatment is necessary. Surgery is usually necessary to correct the cause in severe unilateral and bilateral cases, but may be beneficial in some moderate cases as well.

Why choose Children’s Hospital Colorado for your child’s hydronephrosis treatment?

Our providers have extensive experience in medical management of hydronephrosis, as well as in minimally invasive surgery.

The urology team at Children’s Colorado is also involved in research efforts to ensure that hydronephrosis treatment practices are as up-to-date and efficient as possible.