Is hydronephrosis serious? How to treat

summary

The urinary system is a continuous pipe system from the kidney to the urethral orifice. The excretion of urine depends on the patency of urinary tract and normal urination function. The stenosis or obstruction of any part of the urinary tract and the normal dysfunction of neuromuscular system will eventually lead to hydronephrosis, dilatation, thinning of renal parenchyma and renal dysfunction. If bilateral obstruction occurs, uremia will result in serious consequences. Now let's talk about the serious hydronephrosis and how to treat it.

Is hydronephrosis serious? How to treat

First, infants should be treated as soon as possible, young adults can be observed properly, if there is progress should be timely surgery, 50 ~ 60 years old or above should be considered early surgical treatment to retain sound renal function.

Second: estimation of renal function and obstruction: A. at least 1 / 5 of normal renal tissue should be preserved to maintain the minimum function of life. If it is not necessary, renal drainage should be avoided to prevent infection. b. For asymptomatic patients with hydronephrosis without infection, B-ultrasound, CT and intravenous pyelography can be used every 6-12 months to review the observation. If there is no progress, the operation can be suspended temporarily. c. Ureteropelvic junction obstruction may cause calculi. Therefore, the etiology of calculi must be explored when removing calculi. If there is stenosis, it should be corrected at the same time.

Third: the operation time of bilateral hydronephrosis: when there is no infection in bilateral hydronephrosis, the side with poor function can be treated first, so that the opposite side is continuously under the compensatory hypertrophy of functional load. The recovery of one side kidney after plastic surgery is better under certain stimulation. For the patients with infection, the severe side should be operated first, and the contralateral side should be operated as soon as possible. If the infection is only on one side with good function, operation should be given priority to preserve renal function to the maximum extent and control the infection. Operation should be considered on the other side after the condition is stable.

matters needing attention

On the basis of eliminating the etiology, we can relieve the obstruction, improve the renal function, relieve the symptoms, eliminate the infection, and repair the normal anatomical structure as much as possible.