Abstract
Prenotally diagnosed hydronephrosis is rather frequent. An adequate prenatal evaluation should consider fetalviability and available resources [technical and medical] to approach the patient and his [her) problem. Amultidisciplinary team should workup each cose individually, to deliver a rational and flexible therapeuticalrecommendation to parents. Current indications for intrauterine surgery are limited., and they will probably changewith the development of new surgical procedures. Perinatal diagnostic evaluation needs may be quite different thanthose at a later postnatal period. A diagnostic alaorithm based mainly on image studies (X ray films,ultrasonography and scintigraphy) is hereby suggested for these patients, Supported on experience gathered fromprevious studies, we describe therapeutic options and further follow-up,(Key words: hydronephrosis, perinatal, ultrasonography, scintigraphy, pyelography].
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