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Doctor insights on: Hydronephrosis

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Dr. Payam Mehranpour
137 doctors shared insights

Hydronephrosis (Overview)

Due to abnormal amount of urine retained by kidney due to swelling of internal renal collecting system consisting of cayces & renal pelvis. Urinary collecting ducts drain into calyces which dreain into pelvis (like a funnel) draining into ureter. Causes mostly blockage, congenital or acquired from stone, fibrous tissue, growth or external pressure of pelvis or lower down, or from bladder reflux.


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How serious is developing hydronephrosis?

How serious is developing hydronephrosis?

It depends...: Hydronephrosis, typically diagnosed by a ct scan or an ultrasound, is distension of the portion of the kidney that collects the urine. There are many causes, but the most common in adults is obstruction to the flow of urine. Left untreated, this can lead to permanent kidney damage. You should see your urologist for further information. ...Read more

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Dr. Payam Mehranpour
137 doctors shared insights

Hydronephrosis (Overview)

Due to abnormal amount of urine retained by kidney due to swelling of internal renal collecting system consisting of cayces & renal pelvis. Urinary collecting ducts drain into calyces which dreain into pelvis (like a funnel) draining into ureter. Causes mostly blockage, congenital or acquired from stone, fibrous tissue, growth or external pressure of pelvis or lower down, or from bladder reflux.


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What are the symptoms of hydronephrosis?

What are the symptoms of hydronephrosis?

Hydronephrosis: Swelling of the kidney due to backing up of urine caused by obstruction to its outflow can cause infection with shaking chills and fever and can cause back/flank pain. Sometimes it's silent,however. ...Read more

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A new born baby with parrot beak nose, bilateral hydronephrosis, and amphigous genitalia... Wat may b the diagnosis?

A new born baby with parrot beak nose, bilateral hydronephrosis, and amphigous genitalia... Wat may b the diagnosis?

Too complex to answe: This cannot be answered in this setting. Your baby needs multi-disciplinary care with a geneticist/urologist/endocrinologist and otolaryngologist at a minimum. Good luck. ...Read more

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What is best medicine to be taken when it was diagnose with moderate hydronephrosis secondary to proximal ureterolithiases?

Urologist to advise: Most obsttructing stones in proximal ureter are too large to pass spontaneously, especially if >5mm diameter. Tamsulosin can help to dilate ureter to facilitate passage of kidney stones & drink lots of water. Severe pain would indicate need for intervention with jj stent followed by shockwave or ureteroscopic lithotripsy. ...Read more

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Male/42/w/30yrs multiple renal stones(calcium oxalate)why do my recent nonobstructing stones cause hydronephrosis/10outof10 pain/hematuria& no uti?

Male/42/w/30yrs multiple renal  stones(calcium oxalate)why do my recent nonobstructing stones cause hydronephrosis/10outof10 pain/hematuria& no uti?

Oxalate stones: Are often the result of crohn's disease related to the lack of absorption of bile salts in the diseased ileum. You shouldn't have hydronephrosis if there is no obstruction but certainly they can cause lots of pain and hematuria. Hope you are improving. ...Read more

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Enlarged left kidney. Ectopic cross fused kidneys. What does the enlarged left kidney mean? No hydronephrosis or calcium build up and no stones.

Enlarged left kidney. Ectopic cross fused kidneys. What does the enlarged left kidney mean? No hydronephrosis or calcium build up and no stones.

Expected: This means that both of your kidneys are on the same side of your body. This would make a large kidney on one side. With no hydronephrosis or stones, you should be ok. ...Read more

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How would you treat a pregnant woman of 18 weeks with sever painless hydronephrosis on her left kidney? Would you let it go untreated being watched? Or would you perform a percutaneous nephrostomy? Or what else? Thanks!

How would you treat a pregnant woman of 18 weeks with sever painless hydronephrosis on her left kidney? Would you let it go untreated being watched? Or would you perform a percutaneous nephrostomy? Or what else? Thanks!

Not from pregnancy: U r probably seeing an OB dr.. Best consult with experienced urologist. Management depends upon presence and thickness of kidney cortex (functional part of kidney), may require a temporary percutaneous jj tube between bladder & kidney or nephrostomy tube (placed thru posterior abdominal wall, best by interventional radiologist) for duration of pregnancy. Need BUN & creatinine checked now. ...Read more

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What is hydronephrosis? How it is treated?

What is hydronephrosis? How it is treated?

Obstructed urine flo: Hydronephrosis is kidney damage due to blockage of ureters preventing urine from flowing properly. Specifically, it refers to enlargement of kidney from pressure. Check out http://www.Medicinenet.Com/hydronephrosis/article.Htm. Solution is to fix cause of obstruction. ...Read more

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What's the treatment for a child who has hydronephrosis?

What's the treatment for a child who has hydronephrosis?

Observe vs repair: Most cases of hydronephrosis in children do not require treatment. In general, it is caused by either partial obstruction of the ureter or bladder, by reflux up the ureter from the bladder, or by large urine production. In many cases, it is none of the above. It is important to have an evaluation to understand its cause and to determine the best means of observing it for deterioration. ...Read more

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