How is hydronephrosis diagnosed?

Written by Zhou Qi
Nephrology
Updated on January 09, 2025
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Strictly speaking, hydronephrosis cannot be considered an independent disease; it is merely a descriptive term in imaging, and is the result of many causes and various etiologies. It occurs because urine produced by the kidneys cannot smoothly pass through the ureters and bladder to be excreted from the body, leading to fluid accumulation in the renal pelvis and calyces. This may be caused by prostate enlargement, tumors in the urinary system, urinary system stones, or chronic inflammation and scarring of the ureters. Generally, hydronephrosis can be detected through imaging techniques, including urinary system ultrasound or CT, which can confirm the diagnosis.

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Written by Zhou Qi
Nephrology
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What department should I go to for hydronephrosis?

Hydronephrosis refers to the accumulation of urine in parts such as the renal pelvis and calyces due to some reason causing the urinary system to not smoothly excrete urine. After the kidneys produce urine, it cannot be excreted smoothly, leading to the accumulation called hydronephrosis. Generally, it is necessary to visit the urology department, as the most common causes of hydronephrosis are stones or tumors in the urinary system and prostatic hyperplasia, among other issues, all of which require urological treatment. In most cases, surgery may be necessary to relieve the obstruction and resolve the hydronephrosis. However, there are also a small number of patients who may have hydronephrosis due to other reasons, such as cervical cancer or colorectal cancer patients, where enlarged tumors may compress the ureter leading to hydronephrosis. Patients with cervical cancer need to undergo surgical treatment in gynecology, while those with colorectal cancer may need treatment in general surgery.

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Can people with hydronephrosis drink water?

Whether patients with hydronephrosis can drink water depends on whether the hydronephrosis has been resolved. Hydronephrosis occurs due to a blockage in the urinary system, often caused by inflammation, scarring, or adhesions of the ureters, or by obstructions such as stones or tumors in the urinary tract, or possibly by an enlarged prostate, leading to the inability of the bladder to properly expel urine. In summary, when the urine produced by the kidneys cannot be properly expelled from the body, it leads to the expansion of the renal pelvis and calyces, known as hydronephrosis. Drinking water at this time can certainly aggravate the condition of hydronephrosis if the body is already struggling to expel fluids. Therefore, if this blockage remains unresolved, patients should limit their intake of fluids. However, if the obstruction is cleared and the urinary tract is smooth, allowing urine to be expelled normally, drinking water is permissible.

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Nephrology
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Kidney hydronephrosis atrophy symptoms

Severe hydronephrosis may cause kidney atrophy. The symptoms of the patient can be divided into two aspects: Firstly, hydronephrosis may cause some clinical symptoms, such as some patients may experience swelling in the lumbar and back area, and a decrease in urine output. Patients may suffer from spasms of the ureter due to obstruction of the urinary system, resulting in severe pain, and some patients may also have hematuria. On the other hand, the atrophy of kidney tissue caused by this hydronephrosis actually means the loss of kidney function. Patients may exhibit symptoms of renal failure, such as swelling of limbs, increased blood pressure, nausea, vomiting, loss of appetite, anemia, and other clinical symptoms.

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What should I do about hydronephrosis?

Hydronephrosis is merely a consequence of urinary system diseases, indicating that the urine produced by the kidneys cannot be normally transported through the ureter to the bladder due to narrowing, adhesion, scarring, or obstruction somewhere. This causes the urine to accumulate in the renal pelvis and calyces. Therefore, the treatment of this disease requires identifying the cause, and then selecting a surgical treatment plan based on the situation. For instance, urinary system stones can cause hydronephrosis, and patients might need extracorporeal shock wave lithotripsy or open surgery for stone removal. Tumors in the urinary system can lead to hydronephrosis, and prostate hyperplasia can also cause similar symptoms, necessitating open surgery to resolve the obstruction. Some patients have congenital abnormalities, adhesions, or scars in the ureter, which might require surgical corrections of the ureter.

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Hydronephrosis should see which department?

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.