Hydronephrosis should see which department?

Written by Zhou Qi
Nephrology
Updated on September 17, 2024
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Hydronephrosis should be treated at a formal hospital's department of urology.

Hydronephrosis is due to some factor causing urinary tract obstruction, potentially seen in urological conditions such as stones, tumors, congenital abnormalities of the ureter, and other causes. These lead to the kidney producing urine that cannot be properly expelled. Dealing with this condition often requires intervention by the urology department, as hydronephrosis typically necessitates surgery.

In early stages, patients may need to adopt corresponding methods to address the specific causes. For instance, patients with stones might need extracorporeal shock wave lithotripsy, and open surgery might also be necessary; deformities of the ureter might need corrective surgery. These surgical treatments need to be performed in the urology department.

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Written by Li Liu Sheng
Nephrology
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Is hydronephrosis of both kidneys serious?

Clinically, bilateral hydronephrosis is serious, as it can lead to expansion of the renal pelvis. Long-term bilateral hydronephrosis can compress the renal parenchyma, leading to the development of chronic obstructive nephropathy, and thus cause chronic renal failure. Additionally, because urine cannot be expelled from the body in a timely manner in bilateral hydronephrosis, it is easy to combine with bacterial infections, which can lead to acute pyelonephritis. Patients may experience chills, fever, and severe back pain, as well as hematuria and general fatigue. Therefore, it is essential to identify the cause of bilateral hydronephrosis and treat it based on the nature of the hydronephrosis. Usually, the causes of bilateral hydronephrosis are related to stones, but tumorous diseases, bladder stones, or urethral strictures are also common causes.

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Written by Zhou Qi
Nephrology
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Is hydronephrosis serious?

Whether the condition of hydronephrosis is serious depends on various factors such as the duration of hydronephrosis, the cause, the extent of fluid accumulation, and more. For example, some patients may have mild hydronephrosis in only one kidney and it may have developed recently; generally, this condition is not very serious. Some patients might have urinary obstructions caused by urinary system stones, and the issue could be resolved using extracorporeal shock wave lithotripsy or surgical stone removal, making the condition not serious. However, in some cases, the cause could be bladder cancer or a tumor near the urinary system compressing the ureter, and if the tumor is difficult to remove, the hydronephrosis might be hard to manage. Long-term fluid accumulation might lead to kidney failure, and these scenarios are considered quite serious.

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Written by Chen Feng
Urology
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How to relieve pain from hydronephrosis

Hydronephrosis accompanied by pain is generally caused by kidney stones lodged in the ureter leading to renal colic, and the stones in the ureter can cause urinary obstruction, thus presenting as hydronephrosis. To alleviate the pain in such cases, treatment methods are chosen based on the size of the stone. If the kidney stone is relatively small and estimated to be able to pass by itself into the bladder, temporary use of pain relief medication can be administered for symptomatic treatment, along with medication that dilates the ureter to expand its diameter, facilitating the expulsion of the stone. If the stone is large and predicted not to pass on its own, temporary symptomatic treatment with pain relief medication can be used. Meanwhile, after completing preoperative examinations, surgery can be performed to remove the stone, which can also completely alleviate the pain symptoms.

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Written by Zhou Qi
Nephrology
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What should I do if I have hydronephrosis and atrophy?

Hydronephrosis leading to kidney shrinkage indicates that the condition has persisted for a long time. Long-term hydronephrosis places significant pressure on the kidneys, which in turn compresses the kidney tissues causing tissue shrinkage. The destruction and shrinkage of tissues result in the kidneys' inability to function properly, leading to azotemia. Patients will experience chronic kidney failure, a situation that is difficult to reverse. Even if surgery is performed to relieve the obstruction and allow urine to be excreted, the damaged kidney tissue cannot regenerate. Therefore, it is still necessary to relieve the obstruction as soon as possible to avoid further damage to the remaining kidney tissue. For patients who have progressed to uremia, it may be necessary to consider hemodialysis or peritoneal dialysis, or undertake a kidney transplant to sustain life.

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Written by Zhou Qi
Nephrology
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Is hydronephrosis scary?

Hydronephrosis is rather alarming, as it harms the body in two main ways: First, it creates increased pressure inside the kidneys due to fluid accumulation in the urinary system. This pressure can compress kidney tissue, and if not resolved, may lead to irreversible kidney damage and renal failure. However, if hydronephrosis formed in the short term is quickly addressed by clearing the urinary system, it typically has minimal impact on kidney function. Another aspect relates to the causes of hydronephrosis, some of which are complicated issues, such as bladder cancer, rectal cancer, or cervical cancer in females. These cancers can press on the ureter, leading to hydronephrosis. Other causes, such as urolithiasis or benign prostatic hyperplasia, are relatively easier to manage.