Specialties UPDATES IN : OBSTRUCTIVE UROPATHY Abstract

Ceri Elbourne, Rosa Romero Department of Pediatric Surgery, John Radcliffe Hospital, Oxford, UK Rosa Romero John Radcliffe Hospital Headley Way, Oxford, UK OX3 9DU E-mail:rosa.romero@ouh.nhs.uk Phone: +44806 231673 Correspondence Congenital anomalies of the kidney and urinary tract (CAKUT) are the leading cause of renal failure in children. Obstructive uropathies represent an important part of this group. Obstruction on the developing fetus. Such consequences include renal dysplasia and the effects of oligohydramnios on lung and skeletal development. Causes of obstructive uropathy may be detected on some selected cases, antenatal intervention. Hydronephrosis is detected in up to 2% of pregnancies, many cases will be transient but others will signify congenital pathologies of the kidney and urinary tract. The challenge is therefore to identify those who will require intervention to protect their renal function and doing so at the correct time. Here we discuss important causes of congenital obstructive uropathy and review recent evidence monest causes of paediatric renal problems, and is frequently diagnosed following an abnormal renal fetal scan.