Common "Hydronephrosis" queries answered by top doctors | iCliniq

Hydronephrosis

Hydronephrosis is swelling of the kidneys when urine builds up in the kidney. The possible common causes of hydronephrosis include partial blockage in the urinary tract and vesicoureteral reflux. Hydronephrosis may cause symptoms like pain in the side and back, pain with urination, frequent urination, nausea, vomiting, and fever. Mild to moderate hydronephrosis is resolved with preventive antibiotic therapy while severe hydronephrosis is treated with surgery.

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My sister-in-law's scan reveals hydronephrosis. Why?

Query: Hello doctor, This query is about my 19 weeks pregnant sister-in-law. She had a USG today and found bilateral moderate fetal hydronephrosis. Her gynecologist told her that the kid will require surgery after delivery. Can you please check the report and explain the situation? Is surgery required? If ...  Read Full »


Dr. Krishna Somani

Answer: Hi, Welcome to icliniq.com. No, it is not life threatning. It has to be serially monitored every 15 days. Any intervention is usually successful after birth only and exact nature of urine obstruction also becomes clear after birth only. Thank you.  Read Full »

I have hydronephrosis. What are the treatment options?

Query: Hi doctor, I am an 18 year old girl. My height is 5 feet and weight is 42 kg. I have been suffering from frequent stomach ache for the past two to three months. I do not have any problem in urination. I thought that the pain was due to some food infection. Later, I was diagnosed to have moderate lef...  Read Full »


Dr. Vivekanandan Govindasamy

Answer: Hi, Welcome to icliniq.com. It is necessary to do a DTPA nuclear scan (Diethylene triamine penta aceticacid) to confirm the diagnosis of UPJ obstruction (renal pelvis obstruction) and to know the severity of obstruction. Only then, you should go for surgery. Yes, it can be done by laparoscopy. It ne...  Read Full »

My wife's ultrasound reports revealed the presence of a right ureteric stone. What should be done?

Query: Hello doctor, I am consulting for my wife. My wife was consulting a general physician for a routine check-up. As per her doctor, the urine analysis showed abnormal ratios. As per reports, there is blood in the urine. The second albumin-to-creatinine ratio dropped from the previous level of 22 to 7.5...  Read Full »


Dr. Tuljapure Samit Prabhakarrao

Answer: Hello, Welcome to icliniq.com. According to the reports (attachment removed to protect the patient's identity), your wife has got a ureteric stone roughly around 8 mm. You can give a trial of alpha-blocker and diuretics for three weeks. Even if the stone does not come out, you can think of uretero...  Read Full »

Kindly review my newborn's ultrasound reports.

Query: Hello doctor, Kindly review the details of my newborn's ultrasound and suggest your suggestions. The left kidney is enlarged with grade II moderate hydronephrosis and dilated renal pelvis 0.51 inch AP and associated with slight dilated proximal ureter suggestion of reflux. Normal right kidney size ...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. The details mentioned in the report suggest hydronephrosis, which can be due to reflux or pelvic ureteric junction obstruction. A micturating cystourethrogram (MCUG) scan needs to be done to have a proper diagnosis. Afte...  Read Full »

I was diagnosed with hydronephrosis. Can you please tell me how I got it?

Query: Hello doctor, I was diagnosed with hydronephrosis in the kidney. Can you please help me to find the reason why I got it and how it can be treated?  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. I understand your concern. It is primarily due to ureteric stone in more than 90 % of cases. Other causes can be ureteropelvic junction (UPJ) obstruction, ureteric constriction, or restriction. A proper diagnosis can be achieved after a CT (computed tomography) scan....  Read Full »

How to manage renal calculi and its symptoms?

Query: Hi doctor, My mother is diagnosed with moderate right hydronephrosis, and proximal hydroureter is seen due to a calculus (1400 HU in attenuation value) in the right upper ureter measuring 13.2 x 7 mm, located approximately 6.5 cm below the pelvic ureteric junction. Two calculi are seen in the mid po...  Read Full »


Dr. Yash Kathuria

Answer: Hello, Welcome to icliniq.com. I understand your concern for your mother. The stones which are less than 5 mm are not of much concern because they may pass with adequate water intake, that is, 84.5 to 101.4 ounces of water every day. But the stone size of 13 mm has increased pressure in the right...  Read Full »

Is pregnancy safe in a woman who has hydronephrosis?

Query: Hello doctor, This query is regarding my sister-in-law, who is 19 weeks pregnant. She had a routine USG yesterday that showed the fetus has moderate bilateral hydronephrosis. What could be the reason for this doctor? Should she continue the pregnancy or not? Will it be life-threatening for the kid a...  Read Full »


Dr. Deepti Verma

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I have reviewed the report (attachments removed to protect the patient's identity). Moderate hydronephrosis (a condition in which kidneys become swollen as a result of urine build up) can be due to chromosomal anomal...  Read Full »

I am getting sharp abdominal pain even after taking medicines for kidney stones?

Query: Hi doctor, I am suffering from kidney stones problem for the past four days. I took an ultrasound scan test. In the report, it was mentioned that tiny calculus of 0.11 inches is seen in the upper pole of the left kidney. Mild hydronephrosis is noted on the left side with dilated ureter due to obstr...  Read Full »


Dr. Saurabh Subhash Pandya

Answer: Hi, Welcome to icliniq.com. I can understand your concern. Stones smaller than 0.23 inches are likely to pass without any intervention. Those that are larger than 0.23 inches or those which cause severe pain, vomiting, or fever need surgical removal (endoscopic). In your case, the stone should pa...  Read Full »

Will radiation expsure during lithotripsy increase the risk of cancer?

Query: Hello doctor, I am 24 years old. I had my kidney stone removed a year ago for causing mild hydronephrosis at my right kidney. During the treatment, I was exposed to full of radiation, abdominal CT scan, lithotripsy, fluoroscopy, and another fluoroscopy during stent insertion. I am not sure how the ...  Read Full »


Dr. Khant Shahil Ramesh Bhai

Answer: Hello, Welcome to icliniq.com. There are enough studies and literature which prove that though there is radiation exposure during CT (computed tomography) scan in the removal of kidney stone it is in low dose and chances of cancer do not increase. So do not worry about that. I do not think removing ...  Read Full »

Kindly look at the kidney test reports and explain the treatment.

Query: Hi doctor,My nephew is having left kidney size of 90 x 36 mm (moderate-gross dilatation PCs is seen (AP diameter of pelvis 23 mm) cortical thickness 5 mm and his right kidney is 70 x 28 mm. Impression: Moderate-gross LT hydronephrosis (left side hydronephrosis with possible PUJ obstruction). Age of ...  Read Full »


Dr. Saurabh Subhash Pandya

Answer: Hi, Welcome to icliniq.com. There is narrowing of left kidney tube called PUJ obstruction (attachment removed to protect patient identity). He needs to undergo DTPA renogram to know extent of kidney function and degree of obstruction. If kidney is functioning fairly and if an obstruction is confirme...  Read Full »

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