Kid with pain in left flank, right kidney hydron-ephrosis.. 10mm cortical thickness, function 19% next line of Rx would be.
a. Treatment of hydronephrosis focuses upon the removal of the obstruction and drainage of the urine that has accumulated behind the obstruction.
b. Chronic upper urinary tract obstruction is treated by the insertion of a ureteric stent or a pyeloplasty.
c. In the question ,cortical thickness is 10mm and renal function 19%, points towards chronic etiology,attempt of saving kidney in the form pyeloplasty should be tried and patient should be followed with postopertive scan to see for any improvement in function.