What is Hydronephrosis?

Hydronephrosis is swelling in the kidney due to the accumulation of urine which is not infected and it may occur due to resistance in the outflow of urine from the kidney to the ureter or urinary bladder.

There are numerous potential causes of hydronephrosis, and each one needs to be addressed.

What are the symptoms of hydronephrosis?

What are the causes of hydronephrosis?

Causes of hydronephrosis include:

Diagnosis of hydronephrosis

Diagnosed prenatally via ultrasound, followed by monitoring with serial scans for blockage and kidney function categorizing as mild, moderate, or severe.

Ultrasound and radionuclide scans assess hydronephrosis and renal function.

Pre- and post-birth hydronephrosis management and surgery type?

Observation for mild to moderate hydronephrosis; post-birth ultrasound checks and renal function tests. A renal scan at one month assesses kidney function and outflow. Surgical intervention is considered if functions decline or dilatation worsens.

Sometimes, in specific situations, a study called micturating cystourethrogram (MCUG) is done to check for the retrograde flow of urine from the bladder to the kidney.

Pyeloplasty surgery, performed by laparoscopic or open technique, aims to remove the affected segment and reattach the pelvis with a healthy ureter. Robotic techniques are also an option if available, offering advantages like cosmesis and early discharge from the hospital.

What are the possible complications?

Possible complications of this condition:

What is the outlook or future of these children?

Surgery success: ~95% of patients with one-sided PUJO have good outcomes. Post-surgery, temporary hydronephrosis isn't concerning initially. Prophylactic antibiotics are needed up to 6 weeks, and follow-up ultrasounds are needed at 3 and 6 months. Severe cases may lead to growth issues.

Conclusion

At Medicover Hospitals, our top-ranked team of physicians and specialists excel in treating Hay Fever and its severe symptoms. Using best diagnostic techniques, we provide expert care for adults and infants, closely monitoring progress for faster recovery.