Is hydronephrosis prone to recurrence?

Written by Chen Feng
Urology
Updated on April 16, 2025
00:00
00:00

Whether hydronephrosis is prone to recurrence depends on the cause of the hydronephrosis. Common causes of hydronephrosis in clinical practice are as follows:

First, urinary tract stones. When a stone is lodged in the ureter or urethra, it can cause urinary obstruction. The urine produced by the kidneys cannot be expelled in time, leading to hydronephrosis. If the stones in the urinary system can be completely removed, it generally does not recur easily. However, if there are still quite a few stones in the kidney or bladder after clearing the urinary tract, it is more likely to recur, because the stones might move down, get lodged in the ureter or urethra again, and cause hydronephrosis.

Second, prostate enlargement. Hydronephrosis caused by prostate enlargement is generally more likely to recur because the prostate continues to grow in size. Even if the enlarged prostate is surgically removed, it still might lead to urethral stricture, thereby causing hydronephrosis again.

Other Voices

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 Zhou Qi
Nephrology
47sec home-news-image

Will hydronephrosis cause facial swelling?

In cases of hydronephrosis, it is not certain whether facial swelling will occur. Since the human body has two kidneys, the kidneys have strong compensatory capabilities. Even if one kidney is completely damaged, if the other kidney remains healthy, the remaining kidney can still perform the function of two kidneys. It can ensure sufficient excretion of water and metabolic waste. When water is sufficiently excreted, swelling should not occur. However, if both kidneys are affected by hydronephrosis, or if the opposite kidney also has problems, then the ability of the kidneys to excrete water may decrease. With both kidneys having issues, it can lead to poor and insufficient water excretion, consequently causing swelling, such as bilateral eyelids, facial areas, and both ankles.

doctor image
home-news-image
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.

doctor image
home-news-image
Written by Zhou Qi
Nephrology
59sec home-news-image

What should I do about hydronephrosis?

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.

doctor image
home-news-image
Written by Chen Feng
Urology
57sec home-news-image

How to relieve pain from hydronephrosis

Hydronephrosis accompanied by pain is generally caused by kidney stones lodged in the ureter leading to renal colic, and the stones in the ureter can cause urinary obstruction, thus presenting as hydronephrosis. To alleviate the pain in such cases, treatment methods are chosen based on the size of the stone. If the kidney stone is relatively small and estimated to be able to pass by itself into the bladder, temporary use of pain relief medication can be administered for symptomatic treatment, along with medication that dilates the ureter to expand its diameter, facilitating the expulsion of the stone. If the stone is large and predicted not to pass on its own, temporary symptomatic treatment with pain relief medication can be used. Meanwhile, after completing preoperative examinations, surgery can be performed to remove the stone, which can also completely alleviate the pain symptoms.