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How serious is pelvictasis/pylectesis in child?

Question

#asktheexpert 
How serious is pelvictasis/pylectesis in child?

Accepted Answer

Renal pelviectasis, or pelviectasis, refers to dilation or enlargement of the renal pelvis, which is the part of the kidney where urine collects before it flows into the ureter. This condition is often detected during prenatal ultrasounds and may persist after birth. It's important to note that renal pelviectasis itself is a descriptive term and not a disease. The significance of renal pelviectasis in a 1-year-old child depends on several factors:

1. **Severity of Dilation:**
   - The degree of dilation is an important factor. Mild or moderate pelviectasis may be less concerning than severe dilation.

2. **Presence of Symptoms:**
   - In many cases, especially if the dilation is mild, there may be no symptoms. If the child is asymptomatic, the condition may be monitored without immediate intervention.

3. **Underlying Causes:**
   - Renal pelviectasis can be a normal variation, especially in infants. However, it can also be associated with conditions such as ureteropelvic junction (UPJ) obstruction or vesicoureteral reflux. Identifying any underlying causes is important for determining the appropriate management.

4. **Follow-up and Monitoring:**
   - A pediatrician or pediatric urologist will likely recommend regular follow-up and monitoring through imaging studies (such as ultrasounds) to track any changes in the renal pelvis.

5. **Intervention if Necessary:**
   - In some cases, especially if the dilation is severe or associated with other complications, intervention may be needed. This could include surgical correction or other procedures.

6. **Consultation with Specialists:**
   - Seeking consultation with pediatric specialists, such as a pediatric nephrologist or urologist, is important for a comprehensive evaluation and appropriate management plan.

It's crucial to consult with your child's healthcare provider for a thorough evaluation and personalized guidance. They will consider the specific characteristics of the renal pelviectasis, the child's overall health, and any associated symptoms or conditions.

In many cases, mild cases of renal pelviectasis in infants resolve on their own without causing long-term issues. However, every situation is unique, and the guidance of healthcare professionals is essential for appropriate care and monitoring.

#asktheexpert How serious is pelvictasis/pylectesis in child?