Will people with hydronephrosis have edema?

Written by Zhou Qi
Nephrology
Updated on February 06, 2025
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Zhou Qi
Nephrology
56sec home-news-image

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.

doctor image
home-news-image
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.

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.

doctor image
home-news-image
Written by Zhou Qi
Nephrology
1min 7sec home-news-image

What department should I go to for hydronephrosis?

Hydronephrosis refers to the accumulation of urine in parts such as the renal pelvis and calyces due to some reason causing the urinary system to not smoothly excrete urine. After the kidneys produce urine, it cannot be excreted smoothly, leading to the accumulation called hydronephrosis. Generally, it is necessary to visit the urology department, as the most common causes of hydronephrosis are stones or tumors in the urinary system and prostatic hyperplasia, among other issues, all of which require urological treatment. In most cases, surgery may be necessary to relieve the obstruction and resolve the hydronephrosis. However, there are also a small number of patients who may have hydronephrosis due to other reasons, such as cervical cancer or colorectal cancer patients, where enlarged tumors may compress the ureter leading to hydronephrosis. Patients with cervical cancer need to undergo surgical treatment in gynecology, while those with colorectal cancer may need treatment in general surgery.

doctor image
home-news-image
Written by Zhou Qi
Nephrology
45sec home-news-image

What are the symptoms of hydronephrosis?

Hydronephrosis is often due to obstructive factors in the urinary system, such as stones, tumors, prostate hyperplasia, etc., causing urine to not be excreted smoothly, so patients may have symptoms related to obstructive kidney disease. Since the kidney is in a state of water accumulation, the ureter may experience spasms, so patients may experience pain in the lower back area. Especially in patients with kidney stones leading to hydronephrosis, as these kidney stones can cause severe pain. Furthermore, patients may experience hematuria. If the hydronephrosis is bilateral, it can lead to a sudden decrease in urine output and acute renal failure.