So, I'm a bit worried about my 7-month-old son. He's got hydronephrosis in his left kidney and there's this PUJ obstruction. The doctor is saying he might need surgery. I'm just wondering, how can we tell if this is getting worse? Should we consider going ahead with the surgery or is there a chance it might get better on its own if we wait a bit?

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Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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To monitor the progression of your son's hydronephrosis with PUJ obstruction, your doctor may recommend regular ultrasound scans (every 3-6 months) to assess kidney function, drainage, and signs of deterioration; additionally, nuclear medicine studies like MAG3 or DMSA scans may be performed to evaluate kidney function and obstruction; surgery is often recommended for PUJ obstruction to prevent long-term kidney damage, but the timing depends on the severity of the obstruction, kidney function, and your child's overall health

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Answered 04/07/2025

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