Hydronephrosis should see which department?

Written by Zhou Qi
Nephrology
Updated on September 17, 2024
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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.

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Written by Zhou Qi
Nephrology
58sec home-news-image

Is hydronephrosis with hematuria serious?

Whether hematuria in patients with hydronephrosis is serious cannot actually be determined by the amount of blood in the urine. It is important to identify the cause and assess kidney function, because hydronephrosis can lead to serious consequences, mainly kidney failure. If the hydronephrosis persists for a long time, it can compress the renal cortex and cause kidney shrinkage, leading to chronic kidney failure. The dangers of hematuria mainly include: first, it may cause significant bleeding, leading to anemia. Second, this type of hematuria could be caused by certain conditions, such as bleeding caused by a tumor in the urinary system, which is quite serious. Whereas bleeding caused by urinary tract infections or urinary system stones, in terms of the nature of the cause, is not considered very serious. However, significant bleeding can also lead to severe anemia and even shock, which would be more serious.

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Written by Chen Feng
Urology
1min 13sec home-news-image

How to relieve nausea caused by hydronephrosis?

Hydronephrosis with nausea can be caused by various reasons, so alleviating nausea symptoms requires specific analysis based on the specific cause. Patients with hydronephrosis often seen in hospital beds are mostly those with ureteral stones. When the stone is lodged in the ureter, the patient will experience an obstruction of urine outflow, leading to hydronephrosis. Moreover, a stone stuck in the ureter can cause renal colic, manifested as back pain, and may also be accompanied by symptoms of nausea and vomiting. In such cases, treatment methods depend on the size of the stone; if the stone is relatively small, it can often be passed naturally with increased water intake and conservative treatment. If the stone is large, it generally requires surgical removal. Hydronephrosis can also result from prolonged obstruction leading to impaired kidney function and uremia. In these situations, it's usually necessary to promptly relieve the urinary obstruction, maintain urethral patency, and, if the patient has elevated blood creatinine levels, employ dialysis or other methods to bring creatinine back to reasonable levels.

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Written by Li Yuan Wei
Urology
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Is hydronephrosis of the second degree severe?

Hydronephrosis grade two, this "grade two" is likely a classification used in ultrasound or CT imaging. For hydronephrosis, the presence of condition itself indicates that the pathology has already affected kidney function. The most common causes include ureteral obstruction, or obstruction at the renal pelvis exit, typically due to stones or tumors, or narrowing caused by plastic tubes. Once hydronephrosis occurs, these conditions have already altered kidney function, necessitating further diagnosis to identify the cause, with surgery possibly being required. The most common objective assessment is a CT scan of the urinary system, with enhanced CT being the most accurate for understanding the severity of the hydronephrosis. Also, it helps identify the location of the ureteral obstruction, and thirdly, it can help ascertain the cause and provide treatment.

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Written by Zhou Qi
Nephrology
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Will people with hydronephrosis have edema?

Hydronephrosis can potentially cause patients to exhibit symptoms of edema. Urine is produced by the kidneys and is expelled from the body through the urinary system, including the ureters and bladder. If there is an obstructive issue in the urinary system, the urine produced by the kidneys cannot be excreted smoothly, leading to hydronephrosis. When a large amount of fluid cannot be excreted, it eventually causes edema in the body. However, if the patient has hydronephrosis on only one side and the other kidney is healthy, the healthy kidney can fully compensate for the entire kidney function and sufficiently excrete fluids. Therefore, patients with unilateral hydronephrosis often do not show obvious signs of edema. But if a patient has bilateral hydronephrosis, and urine produced by both kidneys cannot be excreted, the patient will exhibit signs of edema.

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Written by Zhou Qi
Nephrology
53sec home-news-image

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.