My 2-month-old baby was diagnosed with moderate hydronephrosis in the left kidney showing a dilated renal pelvis and mild cortical thinning, possibly due to PUJ obstruction. The ultrasound showed the left kidney is 5.5x2.4 cm with a 14mm AP diameter of the renal pelvis and slightly reduced cortical thickness. The right kidney looks normal. Do you think surgery is needed or are there other treatment options we should consider first?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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For a 2-month-old with moderate hydronephrosis due to a possible ureteropelvic junction (PUJ) obstruction, initial treatment often involves watchful waiting and monitoring, along with strategies to prevent urinary tract infections (UTIs). Surgery may be considered if the condition worsens, kidney function is compromised, or if other complications arise

Dr. Kamran Suggests...

Consult a Paediatrician

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Answered 14/08/2025

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