What should be done if fetal hydronephrosis in both kidneys is detected at 6 months of pregnancy?
Disease description:
My wife is six months pregnant. During today's prenatal checkup, we found that the baby's kidneys have fluid accumulation (hydronephrosis). Could you please advise what we should do in this situation?
Doctor's answer (1)
Dr. Yang Guang
Fetal hydronephrosis in both kidneys is detected at six months of gestation. Below are some recommendations and management options:
1. Assess the severity: Evaluate the degree and cause of hydronephrosis via ultrasound. Mild to moderate hydronephrosis often does not require immediate treatment and may resolve spontaneously as the fetus develops.
2. Regular monitoring: Depending on the severity of the hydronephrosis, regular ultrasound examinations may be necessary to monitor changes in the hydronephrosis and the overall health status of the fetus. This helps detect any progression or changes promptly and allows for timely adjustment of the treatment plan.
3. Medication: For hydronephrosis caused by urinary tract obstruction, diuretics may be considered to help the fetus urinate more effectively.
4. Surgical treatment: For severe bilateral hydronephrosis, surgery may be required to relieve the obstruction in the urinary passage. This is usually performed after the baby is born.
5. Termination of pregnancy: In rare cases, if the fetal hydronephrosis is severe and incurable, it may significantly impact the growth and development of the fetus. In such cases, doctors may suggest termination of pregnancy.
If hydronephrosis is detected, prompt medical attention is advised.
