ABSTRACT
Congenital obstructive uropathy involving the upper tract constitutes a significant proportion of the clinical caseload of a pediatric urologist. With many upper tract conditions being diagnosed antenatally, the challenge for pediatric urologists today is to identify the cases that should be treated early and those that can wait for planned surgery without detriment to the well-being of the patient. Whereas most cases of congenital obstructive uropathy can be watched safely, some cases of severe ureteropelvic junction obstruction may require early surgical intervention to preserve upper tract function.
