Operate or Observe? The Central Dilemma in Pediatric UPJO

from Pediatric Urology Academy · host Amin Afrasiabi, MD, Pediatric Urologist

Not every hydronephrotic kidney is obstructed. And not every obstructed-looking kidney needs surgery.This episode opens the UPJO season by examining the central dilemma in pediatric ureteropelvic junction obstruction: which kidneys can be safely observed, and which kidneys will deteriorate if left alone?We discuss hydronephrosis, renal function, drainage, symptoms, serial ultrasound, MAG3 uncertainty, and why UPJO is best understood as a risk state over time.Keywords: UPJO, hydronephrosis, pyeloplasty, pediatric urology, MAG3 renogram.

Episode metadata supplied by the publisher feed · Published Jul 18, 2026

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Operate or Observe? The Central Dilemma in Pediatric UPJO

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