Abstract
Prenatal ultrasound detects hydronephrosis in as many as 1.4 percent of fetuses, with it persisting postnatally in half.’ As this is a serendipitous finding, when to intervene surgically remains one of the most controversial issues in pediatric urology. Since surgical correction carries a high success rate with minimal morbidity in the neonate, it is very tempting to take an aggressive position of “conserving” all renal function that might be compromised by achieving optimum drainage early Admittedly, since our diagnostic techniques are not as precise as we would like, it is difficult to find a “comfort” level for the urologist when observing urinary dilatation in the neonate and hoping for its improvement. Evaluation
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