Hydronephrosis medical therapy: Difference between revisions

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* In Order to reduce the risk of permanent kidney injury, the blockage of urine may need to be drained if [[hydronephrosis]] is severe enough.<ref name="pmid7924663">{{cite journal |vauthors=Li F, Zhang MZ, Liu TC |title=[Diagnosis and treatment of hydronephrosis: report of 100 cases] |language=Chinese |journal=Zhonghua Wai Ke Za Zhi |volume=32 |issue=2 |pages=114–6 |date=February 1994 |pmid=7924663 |doi= |url=}}</ref>
* In Order to reduce the risk of permanent kidney injury, the blockage of urine may need to be drained if [[hydronephrosis]] is severe enough.<ref name="pmid7924663">{{cite journal |vauthors=Li F, Zhang MZ, Liu TC |title=[Diagnosis and treatment of hydronephrosis: report of 100 cases] |language=Chinese |journal=Zhonghua Wai Ke Za Zhi |volume=32 |issue=2 |pages=114–6 |date=February 1994 |pmid=7924663 |doi= |url=}}</ref>
* The drainage can be done with [[nephrostomy]] tube into the kidney.
* The drainage can be done with [[nephrostomy]] tube into the kidney.<ref name="pmid25014578">{{cite journal |vauthors=Zhang S, Zhang Q, Ji C, Zhao X, Liu G, Zhang S, Li X, Lian H, Zhang G, Guo H |title=Improved split renal function after percutaneous nephrostomy in young adults with severe hydronephrosis due to ureteropelvic junction obstruction |journal=J. Urol. |volume=193 |issue=1 |pages=191–5 |date=January 2015 |pmid=25014578 |doi=10.1016/j.juro.2014.07.005 |url=}}</ref>
* Consider giving pain medications and [[Antibiotic|antibiotics]] to be patient before initiating the treatment.  
* Consider giving pain medications and [[Antibiotic|antibiotics]] to be patient before initiating the treatment.  
'''Mild to moderate hydronephrosis in adults'''
'''Mild to moderate hydronephrosis in adults'''

Revision as of 17:54, 27 July 2018

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Overview

The goal of treatment for hydronephrosis is to restart the free flow of urine from the kidney and decrease the swelling and pressure that builds up and decreases kidney function.The initial care for the patient is aimed at minimizing pain and preventing urinary tract infections. Otherwise, surgical intervention may be required.

Medical Therapy

  • In Order to reduce the risk of permanent kidney injury, the blockage of urine may need to be drained if hydronephrosis is severe enough.[2]
  • The drainage can be done with nephrostomy tube into the kidney.[3]
  • Consider giving pain medications and antibiotics to be patient before initiating the treatment.

Mild to moderate hydronephrosis in adults

Severe hydronephrosis

  • Surgery may be the treatment of choice to eliminate the severity of the blockage or even correct the reflux.

Bilateral hydronephrosis

Severe unilateral hydronephrosis in infants

Moderate and mild unilateral hydronephrosis in infants

Antibiotic prophylaxis

References

  1. Gharib T, Mohey A, Fathi A, Alhefnawy M, Alazaby H, Eldakhakhny A (July 2018). "Comparative Study between Silodosin and Tamsulosin in Expectant Therapy of Distal Ureteral Stones". Urol. Int.: 1–6. doi:10.1159/000490623. PMID 30025399.
  2. Li F, Zhang MZ, Liu TC (February 1994). "[Diagnosis and treatment of hydronephrosis: report of 100 cases]". Zhonghua Wai Ke Za Zhi (in Chinese). 32 (2): 114–6. PMID 7924663.
  3. Zhang S, Zhang Q, Ji C, Zhao X, Liu G, Zhang S, Li X, Lian H, Zhang G, Guo H (January 2015). "Improved split renal function after percutaneous nephrostomy in young adults with severe hydronephrosis due to ureteropelvic junction obstruction". J. Urol. 193 (1): 191–5. doi:10.1016/j.juro.2014.07.005. PMID 25014578.

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