Abstract
Antenatal ultrasonography has become the frontline investigation for detailed fetal evaluation. Ease of use, widespread accessibility, and prompt diagnosis has given the routine use of ultrasonography a boost with doctors increasingly relying on it in every stage of pregnancy. Fetal hydronephrosis detected as an abnormal dilatation of the urinary canal is one of the most common prenatal anomalies. It is defined by two universally accepted criteria vis-a-vis Society for fetal Urology (SFU) grading and anteroposterior diameter (RAPD) of the renal pelvis. Evaluation antenatal hydronephrosis (ANH) before and after birth is warranted, and factors such as to cause, severity, and whether the condition is uni- or bilateral are used to formulate decisions about additional assessment and potential intervention. Here we present a typical case of bilateral fetal hydronephrosis detected in the 2nd trimester. The progression was analyzed by regular antenatal US and appropriate management instituted.
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