ABSTRACT

An abnormality involving the genitourinary tract is detected in

one in 50 to one in 100 pregnancies, depending on the

sonographic criteria.1,2 The goal of management is to

recognize and treat congenital anomalies that may adversely

affect renal function or cause urinary tract infection (UTI) or

sepsis. Many structural abnormalities of the urinary tract are

characterized by hydronephrosis, which frequently is assumed

to be obstructive. However, often antenatal hydronephrosis is

not caused by obstruction; examples include vesico-ureteral

reflux (VUR), multicystic kidney, and certain abnormalities of

the ureteropelvic and ureterovesical junction.