Hydronephrosis is when your kidneys fill with too much urine and swell up. It’s cause by a problem in the urinary tract that stops urine from draining normally.
How to say it
How hydronephrosis happens
Urine usually flows from the kidneys down through the ureters, bladder, and out of the body through the urethra. Hydronephrosis occurs when something blocks this flow of urine.
What causes hydronephrosis?
The condition has many possible causes. They include:
Narrowing (stricture) in a tube that drains urine (ureter or urethra)
Fibroids in the uterus
Symptoms of hydronephrosis
Symptoms may include:
Pain in your side and back
Pain when urinating
Nausea and vomiting
Small amount of urine or no urine
Urinating often or feeling the urge to urinate often
Blood in urine
Symptoms will depend on the cause of the blockage and how serious it is.
Your healthcare provider will ask about your symptoms and health history. He or she will give you a physical exam. The physical exam may include a rectal exam or a pelvic exam. You may also have tests such as:
Blood tests. These are done to see how well your kidneys are filtering the blood.
Urine test. This is done to look for infections and other problems.
Imaging test. You may have an ultrasound, MRI, or CT scan. These tests make images of your organs and other tissues. They can show blockages, growths, and other problems.
Other imaging tests. You may also have a cystourethrogram, ureterogram, or renogram. These tests create special detailed images of the bladder, ureters, and kidneys.
Treatment for hydronephrosis
Treatment depends on what is causing the problem. Your healthcare providers will need to drain the urine, and treat the cause. You may also see a urologist, gynecologist, or oncologist for treatment.
Treatment may include:
Tube to drain urine. A thin, flexible tube (catheter) may be put into your urethra or through a small cut in the abdomen, and up into the kidney. A small tube (stent) may be put in near the kidney to keep the urine draining. Or a tube may be put through a cut in the skin directly into your kidney.
Surgery. You may need surgery to fix something blocking urine, such as a growth or stricture.
You may also be treated with:
Medicines to treat pain, nausea, and vomiting
Antibiotics to treat an infection
Possible complications of hydronephrosis
In some cases, hydronephrosis may cause long-term (permanent) kidney damage.
When to call your healthcare provider
Call your healthcare provider if you have any of the following:
Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider
Pain that gets worse
Symptoms that don’t get better, or get worse
February 08, 2018
Clinical manifestations and diagnosis of urinary tract obstruction and hydronephrosis. UpToDate., Hydronephrosis. Ferri, Fred F, MD, FACP. Ferri's Clinical Advisor 2018. ClinicalKey.
Latif, Walead, DO,Turley, Raymond Kent, BSN, MSN, RN