What should I do about hydronephrosis?

Written by Zhou Qi
Nephrology
Updated on September 20, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Zhou Qi
Nephrology
42sec home-news-image

Does hydronephrosis cause pain?

Patients with hydronephrosis do not all experience pain. In fact, only a minority of patients experience pain. Hydronephrosis is caused by some form of urinary obstruction, such as urinary system stones, tumors, or problems like prostate enlargement, which prevent urine from being excreted smoothly. In this case, the accumulation of fluid can be a long-term, gradual buildup. Patients often adapt to the progression of the condition and do not exhibit obvious symptoms, especially in the early stages. However, some patients may experience pain, such as those with urinary system stones, or pain may occur when a tumor ruptures.

doctor image
home-news-image
Written by Li Liu Sheng
Nephrology
58sec home-news-image

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.

doctor image
home-news-image
Written by Chen Feng
Urology
54sec home-news-image

What foods can be eaten with hydronephrosis?

Patients with hydronephrosis should pay attention to a light diet, eat more fresh vegetables and fruits, avoid spicy and stimulating foods, and consume less high-salt foods, while also abstaining from alcohol. Besides controlling their diet, patients with hydronephrosis should also actively search for the underlying causes of the condition. Common causes of hydronephrosis in clinical practice include urinary tract stones or prostate hyperplasia, mainly due to obstructions in the ureter or urethra, preventing the urine produced by the kidneys from being excreted, which then leads to hydronephrosis. Once the cause of the urinary obstruction is identified, it is necessary to actively treat the underlying cause to restore the patency of the urinary tract. After the condition improves, it is also important to drink more water and urinate frequently to maintain health.

doctor image
home-news-image
Written by Li Liu Sheng
Nephrology
56sec home-news-image

Should people with hydronephrosis avoid certain foods?

Although there are many causes leading to hydronephrosis in patients, most hydronephrosis is related to stones, meaning that hydronephrosis occurs in patients due to ureteral kidney stones. Therefore, dietary restrictions are necessary for patients with hydronephrosis in daily life. If the hydronephrosis is caused by calcium oxalate stones, patients should avoid consuming foods that are high in calcium and oxalates, such as nuts, legumes, spinach, and beets. If the hydronephrosis is due to the formation of uric acid stones, patients should also avoid consuming excessive amounts of animal organs, such as pork liver and kidneys, avoid seafood, and try not to drink beer, as these contain a high amount of purines, which can easily lead to stone formation. Additionally, if patients with hydronephrosis also have renal insufficiency, they should follow a low-salt diet and avoid consuming particularly salty foods, including various pickles, etc.

doctor image
home-news-image
Written by Zhou Qi
Nephrology
48sec home-news-image

Hydronephrosis should be seen by the Urology Department.

Hydronephrosis requires consultation at the urology department of a formal public hospital. Hydronephrosis refers to the situation where urine produced by the kidneys cannot be smoothly excreted. The primary reason is usually due to obstructions in the urinary tract below the kidneys, such as in the ureter or bladder. Obstructive factors primarily include stones, tumors, prostate enlargement in men, scarring or adhesions in the ureter, or inadequate ureteral motility, among others, often necessitating urologic intervention. These obstructive factors usually require surgical removal, such as using ultrasonic lithotripsy for stones or direct surgical intervention, thus necessitating a visit to urology.