Learn About Hydronephrosis

What is the definition of Hydronephrosis?

Hydronephrosis is swelling of one kidney due to a backup of urine. This problem may occur in one kidney.

What are the alternative names for Hydronephrosis?

Hydronephrosis; Chronic hydronephrosis; Acute hydronephrosis; Urinary obstruction; Unilateral hydronephrosis; Nephrolithiasis - hydronephrosis; Kidney stone - hydronephrosis; Renal calculi - hydronephrosis; Ureteral calculi - hydronephrosis; Vesicoureteral reflux - hydronephrosis; Obstructive uropathy - hydronephrosis

What are the causes of Hydronephrosis?

Hydronephrosis (kidney swelling) occurs as the result of a disease. It is not a disease itself. Conditions that may lead to hydronephrosis include:

  • Blockage of a ureter due to scarring caused by prior infections, surgeries, or radiation treatments
  • Blockage from an enlarged uterus during pregnancy
  • Birth defects of the urinary system
  • Back flow of urine from bladder to kidney, called vesicoureteral reflux (may occur as a birth defect or due to an enlarged prostate or narrowing of the urethra)
  • Kidney stones
  • Cancers or tumors that occur in the ureter, bladder, pelvis or abdomen
  • Problems with the nerves that supply the bladder

The blockage and swelling of the kidney may occur suddenly or may develop slowly.

What are the symptoms of Hydronephrosis?

Common symptoms include:

  • Flank pain
  • Abdominal mass, especially in children
  • Nausea and vomiting
  • Urinary tract infection (UTI)
  • Fever
  • Painful urination (dysuria)
  • Increased urinary frequency
  • Increased urinary urgency

In some cases, there may be no symptoms.

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What are the current treatments for Hydronephrosis?

Treatment depends on the cause of the kidney swelling. Treatment may include:

  • Placing a stent (tube) through the bladder and ureter to allow urine to flow from the kidney into the bladder
  • Placing a tube into the kidney through the skin to allow the blocked urine to drain out of the body into a drainage bag
  • Antibiotics for infections
  • Surgery to correct the blockage or reflux
  • Removal of any stone that is causing blockage

People who have only one kidney, who have a weakened immune system (such as due to diabetes or HIV), or who have had a kidney transplant will need treatment right away.

People who have long-term hydronephrosis may need antibiotics to reduce the risk of UTI.

Who are the top Hydronephrosis Local Doctors?
1000 E Broad St, 
Richmond, VA 
 75.5 mi
Accepting New Patients
Offers Telehealth

Rebecca Zee is an Urologist in Richmond, Virginia. Dr. Zee and is rated as an Elite provider by MediFind in the treatment of Hydronephrosis. Her top areas of expertise are Hydronephrosis, Ureterocele, UPJ Obstruction, Orchiectomy, and Reconstructive Urology Surgery. Dr. Zee is currently accepting new patients.

Duke Health Integrated Practice Inc

2301 Erwin Rd, 
Durham, NC 
 78.1 mi
Accepting New Patients
Offers Telehealth

Charles Scales is an Urologist in Durham, North Carolina. Dr. Scales and is rated as a Distinguished provider by MediFind in the treatment of Hydronephrosis. His top areas of expertise are Kidney Stones, Obstructive Uropathy, Hydronephrosis, Ureteroscopy, and Lithotripsy. Dr. Scales is currently accepting new patients.

 
 
 
 
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Urology Of Virginia

225 Clearfield Ave, 
Virginia Beach, VA 
 86.6 mi
Accepting New Patients
Offers Telehealth

John Liu is an Urologist in Virginia Beach, Virginia. Dr. Liu and is rated as a Distinguished provider by MediFind in the treatment of Hydronephrosis. His top areas of expertise are Obstructive Uropathy, Bilateral Hydronephrosis, Hydronephrosis, Ureteroscopy, and Prostatectomy. Dr. Liu is currently accepting new patients.

What is the outlook (prognosis) for Hydronephrosis?

Loss of kidney function, UTI, and pain may occur if the condition is left untreated.

What are the possible complications of Hydronephrosis?

If hydronephrosis is not treated, the affected kidney may be permanently damaged. Kidney failure is rare if the other kidney is working normally. However, kidney failure will occur if there is only one functioning kidney. UTI and pain may also occur.

When should I contact a medical professional for Hydronephrosis?

Contact your health care provider if you have ongoing or severe flank pain, or fever, or if you think you may have hydronephrosis.

How do I prevent Hydronephrosis?

Prevention of the disorders that cause this condition will prevent it from occurring.

What are the latest Hydronephrosis Clinical Trials?
Artificial Intelligence-aimed Point-of-care Ultrasound Image Interpretation System

Summary: This proposal is for an one-year project. In this project, we aim to investigate the feasibility of using AI for sonographic image interpretation. The main project is responsible for coordination between the two sub-projects and the main project, providing image resources, and using U-Net (Convolutional Networks for Biomedical Image Segmentation) and Transfer Learning to build up the models for im...

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A Prospective Phase II Study of Risk-stratification Based Bladder-sparing Modalities for Muscle-invasive Bladder Cancer After Chemotherapy Combined With PD-1 Antibody(Rebirth)

Summary: Neoadjuvant chemotherapy plus radical cystectomy is the standard if care for cisplatin-eligible patients with MIBC. Developments in the last two decades suggest that bladder sparing therapy may be a valuable alternative to radical cystectomy. Currently, well-documented TMT regimens, which include complete transurethral resection of bladder tumor (TURBT), chemotherapy, and radiation therapy, demons...

What are the Latest Advances for Hydronephrosis?
Laparoscopic triple-ureteral ureteroureterostomy in a patient with ureteral triplication: A case report.
Laparoscopic ureteral reimplantation with a Boari flap for long-segment ureteric avulsion or ureteric strictures: our experience.
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One-stage tubeless percutaneous nephrolithotomy for asymptomatic calculous pyonephrosis.
Who are the sources who wrote this article ?

Published Date: March 31, 2024
Published By: Sovrin M. Shah, MD, Associate Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Frøkiaer J. Urinary tract obstruction. In: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner and Rector's The Kidney. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 37.

Gallagher KM, Hughes J. Urinary tract obstruction. In: Johnson RJ, Floege J, Tonelli M, eds. Comprehensive Clinical Nephrology. 7th ed. Philadelphia, PA: Elsevier; 2024:chap 61.