How to treat kidney stones and hydronephrosis?

Written by Wang Shuai
Urology
Updated on June 20, 2025
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If kidney stones are accompanied by hydronephrosis, it is usually because the stones are relatively large, blocking the renal pelvis, leading to the inability of urine within the kidney to be smoothly expelled from the body, which results in water accumulation. For this situation, it is advised to undergo surgery as soon as possible. By removing the stones through surgery, the hydronephrosis of the kidney can be alleviated. It is mainly necessary to conduct examinations like ultrasound and CT scans to understand the specific size, location, and number of the stones, as well as whether there is an accompanying infection, before choosing an appropriate treatment plan. If there is an infection, it is necessary to control the infection before proceeding with the surgery. Currently, the primary surgical method is percutaneous nephrolithotomy.

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Written by Wang Shuai
Urology
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How to relieve pain during a kidney stone attack?

When kidney stones occur, there are often significant pain symptoms. This is mainly due to the smaller stones in the kidney moving within the kidney or falling into the ureter, stimulating the ureter wall, causing ureteral spasms and subsequent pain. The pain usually appears suddenly and can be very intense. In such cases, it is necessary to go to the hospital promptly for spasm relief and pain treatment. Medications such as scopolamine, atropine, or tramadol can be used for pain relief. If necessary, scopolamine may need to be administered intravenously. (Specific medications should be used under the guidance of a physician.)

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Written by Wang Shuai
Urology
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How are kidney stones caused?

There are many causes leading to the formation of kidney stones, related to daily water and food intake, lifestyle habits, living environment, genetics, and certain diseases. For example, patients with hyperuricemia and those with hyperfunctioning parathyroid glands are prone to the formation of kidney stones. Additionally, individuals who often stay in high-temperature environments and neglect to drink water frequently and urinate regularly, can easily experience concentrated urine, which also promotes the formation of kidney stones. Furthermore, people who consume large amounts of calcium and oxalate-rich foods over long periods are also commonly at risk of developing kidney stones.

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Written by Zeng Zhong
Urology
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Where is the best place to massage for kidney stones?

Patients with kidney stones will find that massage is ineffective. For those with stones smaller than 0.5 cm, engaging in more physical activity such as playing basketball, jumping rope, or running, along with increasing fluid intake and urination, can help facilitate the expulsion of the stones. If the stones are larger, over 0.5 cm, treatment with extracorporeal shock wave lithotripsy is necessary. For stones larger than 1.5 cm, surgical intervention is required. Beyond these methods, there are no other treatments, and massage does not have a therapeutic effect.

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Written by Zeng Zhong
Urology
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Do kidney stones hurt?

Whether kidney stones cause pain depends on whether the stones are moving within the kidney. If the stones are relatively large, they generally do not move within the kidney, and the patient will not feel pain. However, when the stones cause hydronephrosis (accumulation of water in the kidney), the patient may occasionally feel a slight swelling and discomfort in the lower back. If the kidney stones are small, they are likely to move within the kidney, which can lead to severe lower back pain, clinically known as renal colic. This pain is quite severe, and it is necessary to go to the hospital for timely treatment.

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Written by Chen Feng
Urology
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Early symptoms of kidney stones in women

The initial symptoms of kidney stones in women vary depending on the size of the stone and whether the stone causes an obstruction. Generally, during the early stages of kidney stones, the stones are relatively small and do not cause obstruction in the kidney or bladder, and typically do not present any symptoms. However, if a small stone moves downward and accidentally gets stuck in a naturally narrow part of the ureter, it can cause symptoms such as pain and discomfort in the lower back, nausea, and vomiting. If the stone gets stuck at the junction of the ureter and the bladder, it irritates the bladder mucosa, leading to symptoms of frequent urination, urgent urination, and painful urination. However, small stones generally pass on their own. Analgesics can be used for symptomatic treatment. Additionally, medications that dilate the ureter, along with drinking plenty of water and physical activity such as jumping, generally help the stone to pass.