What are the dangers of hydronephrosis in women?

When female friends suffer from hydronephrosis, it will cause some harm to the body, especially when bacterial infection has occurred inside the body, the complications of toxicity will become more and more obvious. The patient will often experience chills and fever, and even the gastrointestinal tract will be disordered. Therefore, more attention must be paid to diet, and try not to eat hard foods.

Patients often remain asymptomatic for a long time until they develop an abdominal mass and a bloating in the waist. The lumps are often discovered accidentally and usually have a cystic feel. The pain is usually mild or even completely painless. However, in cases of intermittent hydronephrosis (caused by ectopic vascular compression or renal ptosis), renal colic may occur, with severe pain radiating along the rib margin and ureter. It is often accompanied by nausea, vomiting, abdominal distension and oliguria. It usually eases within a short time or a few hours, followed by the excretion of a large amount of urine. Enlarged kidneys may be palpated during examination. If it is giant hydronephrosis, the tension may not be very high.

If hydronephrosis is complicated by infection, there will be pyuria and symptoms of systemic poisoning, such as chills, fever, headache and gastrointestinal dysfunction. Some patients have urinary tract infection as the initial symptom. Patients who do not respond well to urinary tract infection treatment must pay attention to the presence of obstructive factors. When the obstruction is severe, the inflammatory exudate cannot be excreted through the urine and there are no white blood cells in the urine, but in this case the local pain and tenderness are more obvious.

Enlarged hydronephrosis is more susceptible to trauma, and even minor injuries may cause rupture and bleeding. Urine leakage into the retroperitoneal space or peritoneal cavity can cause severe reactions, including pain, tenderness, and systemic symptoms.

1. B-mode ultrasound examination

B-ultrasound examination is simple, non-destructive and helpful for making a clear diagnosis. It can also show the morphology of the remaining renal tissue in the hydronephrosis and is helpful in understanding the urinary tract condition (renal pelvis, renal calyx and proximal ureter of obstruction).

2. Diuretic nephrogram

Diuretic renogram is an examination that has been given great importance in the diagnosis of hydronephrosis in recent years. It is helpful in identifying early lesions (whether hydronephrosis is present), determining whether hydronephrosis requires surgical treatment, and the state of renal function impairment. Especially when unilateral hydronephrosis is relatively mild, or one side of bilateral hydronephrosis is severe and the other side is mild, it is more valuable to determine whether the milder hydronephrosis requires surgical treatment. Diuretic renography can also be used to monitor functional recovery after surgery (peyleplasty).

3. Renal pelvic flow pressure measurement

It is also one of the examination methods considered valuable in clinical practice in recent years, and its significance is similar to that of diuretic renogram.

4. Urinary tract imaging and other examinations

It is extremely important to estimate the renal function status of hydrops. It is of great significance to whether surgery is needed, the surgical method and the chance of recovery of kidney function after surgery.

5. Imaging examination

If the thickness of the remaining renal parenchyma in a hydronephrosis kidney exceeds 1.5 cm, the kidney is worth preserving.