Can you have sex with hydronephrosis?

Written by Zhou Qi

Nephrology

Updated on September 02, 2024

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Before the complete resolution of hydronephrosis, it is recommended that patients avoid sexual intercourse. This is because hydronephrosis indicates the presence of obstructive factors in the urinary system, causing urine to not be excreted smoothly. Urine accumulates within the urinary system, causing dilation of the renal pelvis, calyces, and ureter. If urine cannot be excreted, bacteria can easily ascend from the urethral opening into the urinary system, causing an inflammatory response. If patients engage in sexual intercourse during this time, bacteria at the urethral opening can easily be pressed into the bladder, ascending and potentially causing pyelonephritis or cystitis. Therefore, it is best for such patients to avoid sexual intercourse until the hydronephrosis has been thoroughly addressed.

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Written by Chen Feng

Urology

1min 2sec

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Is hydronephrosis prone to recurrence?

Whether hydronephrosis is prone to recurrence depends on the cause of the hydronephrosis. Common causes of hydronephrosis in clinical practice are as follows: First, urinary tract stones. When a stone is lodged in the ureter or urethra, it can cause urinary obstruction. The urine produced by the kidneys cannot be expelled in time, leading to hydronephrosis. If the stones in the urinary system can be completely removed, it generally does not recur easily. However, if there are still quite a few stones in the kidney or bladder after clearing the urinary tract, it is more likely to recur, because the stones might move down, get lodged in the ureter or urethra again, and cause hydronephrosis. Second, prostate enlargement. Hydronephrosis caused by prostate enlargement is generally more likely to recur because the prostate continues to grow in size. Even if the enlarged prostate is surgically removed, it still might lead to urethral stricture, thereby causing hydronephrosis again.

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Written by Chen Feng

Urology

1min 13sec

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How to relieve nausea caused by hydronephrosis?

Hydronephrosis with nausea can be caused by various reasons, so alleviating nausea symptoms requires specific analysis based on the specific cause. Patients with hydronephrosis often seen in hospital beds are mostly those with ureteral stones. When the stone is lodged in the ureter, the patient will experience an obstruction of urine outflow, leading to hydronephrosis. Moreover, a stone stuck in the ureter can cause renal colic, manifested as back pain, and may also be accompanied by symptoms of nausea and vomiting. In such cases, treatment methods depend on the size of the stone; if the stone is relatively small, it can often be passed naturally with increased water intake and conservative treatment. If the stone is large, it generally requires surgical removal. Hydronephrosis can also result from prolonged obstruction leading to impaired kidney function and uremia. In these situations, it's usually necessary to promptly relieve the urinary obstruction, maintain urethral patency, and, if the patient has elevated blood creatinine levels, employ dialysis or other methods to bring creatinine back to reasonable levels.

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Written by Zhou Qi

Nephrology

49sec

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What department to see for hydronephrosis?

Patients with hydronephrosis should visit the urology department of a formal hospital, because the conditions causing hydronephrosis are often surgical in nature. The most common cause is urological stones, which block the ureter or the bladder opening, causing urine to accumulate within the urinary system and leading to hydronephrosis. Additionally, patients with benign prostatic hyperplasia may also experience this condition. Tumors in the urinary system may compress the ureter and cause hydronephrosis. Some patients have congenital deformities of the ureter, where changes in the anatomical structure can lead to hydronephrosis. In summary, these conditions often require surgical treatment, thus necessitating consultation at a formal hospital's urology department.

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Written by Zhou Qi

Nephrology

58sec

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Is hydronephrosis with hematuria serious?

Whether hematuria in patients with hydronephrosis is serious cannot actually be determined by the amount of blood in the urine. It is important to identify the cause and assess kidney function, because hydronephrosis can lead to serious consequences, mainly kidney failure. If the hydronephrosis persists for a long time, it can compress the renal cortex and cause kidney shrinkage, leading to chronic kidney failure. The dangers of hematuria mainly include: first, it may cause significant bleeding, leading to anemia. Second, this type of hematuria could be caused by certain conditions, such as bleeding caused by a tumor in the urinary system, which is quite serious. Whereas bleeding caused by urinary tract infections or urinary system stones, in terms of the nature of the cause, is not considered very serious. However, significant bleeding can also lead to severe anemia and even shock, which would be more serious.

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Written by Zhou Qi

Nephrology

47sec

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Will hydronephrosis cause facial swelling?

In cases of hydronephrosis, it is not certain whether facial swelling will occur. Since the human body has two kidneys, the kidneys have strong compensatory capabilities. Even if one kidney is completely damaged, if the other kidney remains healthy, the remaining kidney can still perform the function of two kidneys. It can ensure sufficient excretion of water and metabolic waste. When water is sufficiently excreted, swelling should not occur. However, if both kidneys are affected by hydronephrosis, or if the opposite kidney also has problems, then the ability of the kidneys to excrete water may decrease. With both kidneys having issues, it can lead to poor and insufficient water excretion, consequently causing swelling, such as bilateral eyelids, facial areas, and both ankles.