What is your approach to patients with chronic kidney disease who are found to have pelviectasis without hydronephrosis on renal ultrasound imaging?

What is your approach to patients with chronic kidney disease who are found to have pelviectasis without hydronephrosis on renal ultrasound imaging?

• Involve urology early on to get a comprehensive evaluation and further diagnostic work-up
• Gather more detailed patient history, looking for signs and symptoms of urinary obstruction, such as nocturia, BPH symptoms, or history of retroperitoneal fibrosis
• Consider ordering a Lasix urogram to better assess the function and anatomy of the urinary tract
• Consider Foley catheter placement if the patient is a male
• Monitor serial renal ultrasounds
• Other