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Medical Treatments

Hydronephrosis Treatment (Pyeloplasty)

Hydronephrosis happens when one or both kidneys swell because urine can't flow properly. This can be caused by a blockage or narrowing in the urinary system, often where the kidney meets the ureter, called the ureteropelvic junction (UPJ). The urine buildup stretches and enlarges the kidney, which can cause pain, infection, or even damage if not treated. Pyeloplasty is a surgical procedure used to fix this blockage at the UPJ. The surgeon removes the blocked section and reconnects the healthy part of the kidney to the ureter, allowing urine to flow freely.

This surgery is typically done under general anesthesia and can be performed using open surgery or minimally invasive techniques, such as laparoscopy. After the surgery, a small tube (stent) may be placed inside the ureter to keep it open while healing. Recovery usually takes a few weeks, and most people can return to normal activities afterward. Pyeloplasty is very effective; it helps relieve symptoms like pain and prevents further kidney damage.

 

Signs & Symptoms

 Symptoms of hydronephrosis vary depending on the severity and duration of the condition. Common signs include:

  • Pain: Sharp or dull ache in the back or side (flank pain), often worsening after drinking liquids.
  • Frequent Urination: Increased urge to urinate, especially at night.
  • Urinary Tract Infections (UTIs): Recurring infections with symptoms like a burning sensation during urination, fever, and cloudy or foul-smelling urine.
  • Hematuria: Blood in the urine, visible as pink, red, or brown discoloration.
  • Nausea and Vomiting: Resulting from pain or kidney dysfunction.
  • Swelling or Lump in the Abdomen: The swollen kidney might be palpable in severe cases.
Causes

 A blockage or obstruction in the urinary system primarily causes hydronephrosis. Common causes include:

  • Ureteropelvic Junction Obstruction is the most frequent cause, where urine flow is obstructed between the kidney and ureter.
  • Kidney Stones: Can block the ureter, causing urine buildup.
  • Congenital Abnormalities: Structural issues present from birth, such as a narrow or twisted ureter.
  • Scar Tissue: From previous infections, surgeries, or trauma.
  • Tumors: Growths pressing on the ureter or kidney.
  • Pregnancy: The growing uterus may compress the ureter, leading to temporary hydronephrosis.
When to seek medical attention?

 Immediate medical attention is necessary if you experience:

  • Severe and persistent back or side pain.
  • High fever with chills.
  • Difficulty or inability to urinate.
  • Visible blood in the urine.
  • Persistent vomiting or dehydration.

Delaying treatment can result in permanent kidney damage or infections.

Diagnostics & Tests

 Diagnosis involves identifying the cause and severity of urine blockage using:

  • Ultrasound: A non-invasive imaging technique to detect kidney swelling.
  • CT Scan: Provides detailed images to identify blockages or abnormalities.
  • MRI: Helps visualize the urinary tract.
  • Intravenous Pyelogram (IVP): X-ray imaging after injecting a contrast dye into the bloodstream.
  • Urinalysis: Tests for infection, blood, or crystals in the urine.
  • Blood Tests: To evaluate kidney function by measuring creatinine and blood urea nitrogen (BUN).
Do’s & Don’ts

 Do's:

  • Follow your doctor's instructions regarding medications and follow-up appointments.
  • Stay hydrated to promote healthy urine flow.
  • Report any signs of infection (fever, redness, or drainage from the incision site).
  • Gradually resume light activities to improve circulation.

 Don'ts:

  • Avoid heavy lifting or strenuous activities for 4-6 weeks.
  • Do not delay stent removal to prevent complications.
  • Refrain from smoking or alcohol consumption, as these can delay healing.
  • Avoid high-sodium foods that may strain the kidneys.

 

NOTE:

Our medical content authors have diligently gathered and synthesized information on this topic to offer valuable insights to our readers. Drawing from a range of reputable medical journals and health resources, this content aims to enhance understanding of the subject. It's important to remember that while this information is informative, it should not replace personalized consultation or treatment from a qualified physician. For further details, please refer to our Editorial Policy.

For this topic, our authors used some of the following resources:

  1. Cleveland Clinic | Pyeloplasty
  2. ScienceDirect | Resolution of hydronephrosis after pyeloplasty in children
  3. National Institutes of Health (NIH) | Pyeloplasty in hydronephrosis
  4. Medscape | Pyeloplasty
  5. Journal of Clinical Nephrology | Persistent hydronephrosis after pyeloplasty: Is it a true obstruction? The role of endourology

Frequently Asked Questions For Hydronephrosis Treatment (Pyeloplasty)

Pyeloplasty has a success rate of over 95%.

Yes, in most cases, it permanently resolves the obstruction and prevents recurrence.

Untreated hydronephrosis can lead to kidney damage, infection, or loss of kidney function.

Recovery typically takes 2-4 weeks. Complete recovery may take longer, depending on the individual and the surgical method used.

Yes, but it can be done using minimally invasive techniques (like laparoscopy), which reduces recovery time.

Yes, usually for a few days. The hospital stay is to monitor your recovery and prevent complications.

In most cases, pyeloplasty provides a permanent solution, but some individuals may have recurrence.

There may be some discomfort after surgery, but painkillers will be provided to help manage it.

While rare, recurrence can occur if scar tissue forms or new obstructions develop. Regular follow-ups are essential.

The cost varies depending on the hospital, type of procedure, and location, but it is generally covered by insurance.

Best Hospitals in Hydronephrosis Treatment (Pyeloplasty)

Explore All Hospitals in Hydronephrosis Treatment (Pyeloplasty)
BLK-MAX Super Specialty Hospital, Delhi – State-of-the-art medical facility
BLK-MAX Super Specialty Hospital

Pusa Road, Radha Soami Satsang, Rajendra Place New Delhi, 110005 India

Accord Superspeciality Hospital, a leading healthcare facility in Faridabad, offering advanced treatments with modern infrastructure.
Accord Superspeciality Hospital

Budena Village, Sector 86, Faridabad, Haryana 121002, India

High-tech medical equipment at Artemis Hospital, Gurgaon, ensuring accurate diagnostics and advanced treatment solutions.
Artemis Hospital

Artemis Hospitals Sector 51, Gurugram 122001 Haryana, India

SHALBY Sanar International Hospital, Gurugram – trusted healthcare destination for global patients via VivaVel.com
SHALBY Sanar International Hospitals, Gurugram

Golf Course Rd, Parsvnath Exotica, DLF Phase 5, Sector 53, Gurugram, Haryana Gurgaon, 122022 India

PARAS Health, Gurugram – top multispecialty hospital for international patients via VivaVel.com
PARAS Health, Gurugram

C-1, Sushant Lok- 1, Sector-43, Phase- I, Gurugram, Haryana, 122002

High-end cardiac and orthopedic surgery at Max Hospital Dehradun – trusted by overseas patients with VivaVel.com support
Max Super Speciality Hospital, Dehradun

Mussoorie, Diversion Road, Dehradun, Uttarakhand 248001

Top Doctors in Hydronephrosis Treatment (Pyeloplasty)

Explore All Doctors in Hydronephrosis Treatment (Pyeloplasty)
Jitendra Kumar
  • Dr. Jitendra Kumar
  • Chairman
  • Nephrology And Kidney Transplant Surgery
  • 30 Years Experience
  • Accord Superspeciality Hospital

Dr. Jitendra Kumar is a famous name in nephrology and is renowned as the top kidney specialist in Faridabad, India. He completed his DM (Nephrology) at the Sanjay Gan...

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Ajit Singh Narula
  • Dr. Ajit Singh Narula
  • Principal Director Nephrology
  • Nephrology | Organ Transplant | Kidney T...
  • 40 Years Experience
  • Fortis Escorts Heart Institute

Dr. Narula has received numerous prestigious awards, including the Air Marshal Ajit Nath Award, Maj Gen Amir Chand Award, Chief of Naval Staff Award, Best Officer Award, and ...

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Sanjeev Gulati
  • Dr. Sanjeev Gulati
  • Senior Consultant
  • Nephrology | Organ Transplant | Kidney T...
  • 31 Years Experience
  • Fortis Escorts Heart Institute

Dr. Sanjeev Gulati is an Executive Director in the Department of Nephrology & Kidney Transplant and previously worked as an Additional Professor in Nephrology at Sanjay G...

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Paresh Jain
  • Dr. Paresh Jain
  • Director Urology
  • Urology | Organ Transplant | Kidney Tran...
  • 16 Years Experience
  • Fortis Escorts Heart Institute

Dr. Paresh Jain is the director of urology and has over 16 years of rich experience. He specializes in Laparoscopic Urology, Endourology - URS, PCNL, RIRS, TURP, Lase...

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Akash Gupta
  • Dr. Akash Gupta
  • Associate Consultant
  • Nephrologist | Renal Specialist
  • 12 Years Experience
  • Fortis Escorts Heart Institute

Dr. Akash Gupta is a renowned nephrologist and kidney transplant specialist in New Delhi. He is an Associate Consultant in Nephrology at Escort Fortis and brings over...

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Sonal Dalal
  • Dr. Sonal Dalal
  • Director
  • Nephrology And Kidney Transplant Surgery
  • 26 Years Experience
  • Sterling Hospital, Ahmedabad

Dr. Sonal Dalal is a highly respected nephrologist in Ahmedabad. She is renowned for her extensive experience and expertise in kidney-related ailments. She se...

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