Obstructive Uropathy in Newborns

One percent babies are born with varying grades of obstructive uropathy. In less than half of them surgical intervention may be necessary at the right time to protect the kidney from deterioration. Bilateral obstruction is commonly due to infravesical obstruction secondary to lesions at bladder outlet or urethra i.e., posterior urethral valves in boys and uretrocoele in girls. Majority of them are symptomatic and may require intervention in the neonatal age. The corner stone of diagnosis is a well performed micturating cystourethrogram. Endoscopic procedure under direct vision and videorecording can take care of the vast majority of the lower urinary tract lesions in newborns.