Hello
I understand this is worrying to hear during pregnancy — but please know that many babies with suspected PUV do well with proper monitoring and treatment after birth.
The report shows bilateral hydronephrosis (both kidneys slightly swollen). This can happen when there is some obstruction in the baby’s urine flow.
One possible cause is Posterior Urethral Valve (PUV) — a condition seen only in boys, where a small tissue flap in the urethra slows urine flow.
Good news: Liquor is adequate, which usually means the kidneys are still functioning well.
PUV can range from mild to severe. Many mild–moderate cases do well after birth with treatment.
The fact that Amniotic fluid is normal, and
Kidney pelvis measurements are still in the mild–moderate range are reassuring signs.
Next Steps
Detailed follow-up scans every 2–4 weeks
To monitor
kidney size, Bladder appearance and Amniotic fluid level
Changes over time help doctors understand how significant the obstruction is.
Consultation with a fetal medicine specialist / pediatric urologist. They will explain treatment options after birth
Most babies undergo a simple endoscopic procedure in the first few weeks of life to remove the obstruction.
Once the baby is delivered:
A kidney ultrasound is done within 24–48 hours
A MCU test (micturating cystourethrogram) confirms the diagnosis
If PUV is present, a tiny camera procedure removes the valve tissue. Many babies recover well and lead normal lives.
Health Tips
Contact your doctor if:
You feel reduced baby movements
Scan later shows falling liquor
Rapid increase in
kidney swelling