Do you need surgery for hydronephrosis?

Last Update: October 15, 2022

This is a question our experts keep getting from time to time. Now, we have got a complete detailed explanation and answer for everyone, who is interested!

Asked by: Gregorio Hand
Score: 4.2/5 (5 votes)

Hydronephrosis is usually treated by addressing the underlying disease or cause, such as a kidney stone or infection. Some cases can be resolved without surgery. Infections can be treated with antibiotics. A kidney stone can pass through by itself or might be severe enough to require removal with surgery.

When is surgery needed for hydronephrosis?

Surgery would be recommended only in the most severe cases. The goal of the surgery is to reduce swelling and pressure in the kidney by establishing a free flow of the urine. The most common surgical procedure used for the treatment of hydronephrosis is pyeloplasty.

Can hydronephrosis be treated without surgery?

narrowing of the ureter (the tube that runs from the kidney to the bladder) can be treated by inserting a hollow plastic tube called a stent, which allows urine to flow through the narrowed section – this can often be done without making cuts in your skin.

What kind of surgery is needed for hydronephrosis?

The most common surgical procedure is pyeloplasty. This repairs the most common type of blockage that causes hydronephrosis: ureteropelvic junction obstruction (UPJ). In pyeloplasty, the surgeon will remove the narrowed or obstructed part of the ureter.

How long does hydronephrosis surgery take?

A medication called Ditropan will provide relief. The catheter will be removed before your child goes home. How long will the surgery take? The surgery takes about two to three hours.

Hydronephrosis - causes, symptoms, diagnosis, treatment, pathology

42 related questions found

Can drinking too much water cause hydronephrosis?

In the presence of vigorous oral hydration, however, mild or moderate hydronephrosis is a frequent occurrence seen at least once in 80% of our study of healthy volunteers after hydration.

What is the best treatment for hydronephrosis?

Hydronephrosis is usually treated by addressing the underlying disease or cause, such as a kidney stone or infection. Some cases can be resolved without surgery. Infections can be treated with antibiotics. A kidney stone can pass through by itself or might be severe enough to require removal with surgery.

What happens if hydronephrosis is not treated?

Left untreated, severe hydronephrosis can lead to permanent kidney damage. Rarely, it can cause kidney failure. But hydronephrosis typically affects only one kidney and the other kidney can do the work for both.

What are the stages of hydronephrosis?

This particular system is thought to be the most common in use and was originally designed for grading neonatal and infant pelvicalyectasis:
  1. grade 0. no dilatation, calyceal walls are apposed to each other.
  2. grade 1 (mild) ...
  3. grade 2 (mild) ...
  4. grade 3 (moderate) ...
  5. grade 4 (severe)

What foods should I avoid with hydronephrosis?

Here are 17 foods that you should likely avoid on a renal diet.
  • Dark-colored soda. In addition to the calories and sugar that sodas provide, they harbor additives that contain phosphorus, especially dark-colored sodas. ...
  • Avocados. ...
  • Canned foods. ...
  • Whole wheat bread. ...
  • Brown rice. ...
  • Bananas. ...
  • Dairy. ...
  • Oranges and orange juice.

What is the main cause of hydronephrosis?

Hydronephrosis is usually caused by a blockage in the urinary tract or something disrupting the normal workings of the urinary tract. The urinary tract is made up of the kidneys, the bladder, the ureters (the tubes that run from the kidney to the bladder) and the urethra (the tube that carries urine out of the body).

What are the complications of hydronephrosis?

Complications. The most common complication of hydronephrosis is the development of a urinary tract infection (UTI). When the UTI is associated with a high fever, a kidney infection is (pyelonephritis) is suspected. This is caused by bacteria spreading from the bladder to the kidney and invading the kidney tissue.

What foods help with hydronephrosis?

If so, they may recommend you try low-potassium foods, like:
  • Apples and apple juice.
  • Cranberries and cranberry juice.
  • Strawberries, blueberries, raspberries.
  • Plums.
  • Pineapples.
  • Peaches.
  • Cabbage.
  • Boiled cauliflower.

How often does hydronephrosis go away?

About 4 out of every 5 cases will resolve on their own before or within a few months of birth and will cause no long-term problems for you or your baby. The remaining cases may require treatment with antibiotics to prevent kidney infections, and in some cases surgery may be needed.

Is hydronephrosis a birth defect?

Birth defects in the urinary tract may cause hydronephrosis. Even when birth defects are the cause, hydronephrosis may be mild and may improve as the child gets older. However, birth defects may also cause hydronephrosis that is severe or gets worse over time.

Does hydronephrosis cause weight gain?

Blood or pus in your urine. Nausea, vomiting, fever, or chills. Abdominal fullness or swelling. Weight gain that you cannot explain.

How long can hydronephrosis go untreated?

Usually kidneys recover well even if there is an obstruction lasting up to 6 weeks.

Why is hydronephrosis so painful?

Hydronephrosis is not a disease, but it can be caused by a number of conditions which affect the kidney and the urinary tract. If left untreated, the pressure of the built-up urine which normally flows easily through the urinary tract may cause pain, swelling and permanent damage to the kidneys.

What do you do for hydronephrosis?

What are the treatment options for hydronephrosis?
  • insert a ureteral stent, which is a tube that allows the ureter to drain into the bladder.
  • insert a nephrostomy tube, which allows the blocked urine to drain through the back.
  • prescribe antibiotics to control infection.

Is drinking a lot of water good for your kidneys?

Be wise about water.

It's good for your kidneys for you to stay hydrated. Drinking too much water, though, backfires. (Most people don't overdo it, though.)

Is hydronephrosis a disease?

Hydronephrosis (kidney swelling) occurs as the result of a disease. It is not a disease itself. Conditions that may lead to hydronephrosis include: Blockage of a ureter due to scarring caused by prior infections, surgeries, or radiation treatments.

What helps with hydronephrosis pain?

Medications used to treat hydronephrosis:
  1. Antibiotics may be administered to prevent or treat urinary tract infections.
  2. Analgesics may be used to relieve pain.

How is hydronephrosis diagnosed?

Hydronephrosis is usually diagnosed using an ultrasound scan. Further tests may be needed to find out the cause of the condition. An ultrasound scan uses sound waves to create a picture of the inside of your kidneys.

What does hydronephrosis look like on ultrasound?

On the sonogram, hydronephrosis appears as branching, interconnected areas of decreased echogenicity (anechoic or black in general, indicating the presence of fluid) in the renal collecting system.

Can drinking more water reduce protein in urine?

Drinking water will not treat the cause of protein in your urine unless you are dehydrated. Drinking water will dilute your urine (water down the amount of protein and everything else in your urine), but will not stop the cause of your kidneys leaking protein.