Hydronephrosis (cont.)

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What are the complications of hydronephrosis?

If hydronephrosis remains untreated, the increased pressure within the kidney may decrease the ability of the kidney to filter blood, remove waste products, and make urine as well as regulate the electrolytes in the body. Hydronephrosis can lead to kidney infections, and in some cases, complete kidney function loss or death. Kidney function will begin decreasing almost immediately with the onset of hydronephrosis but is reversible if the swelling resolves. Usually kidneys recover well even if there is an obstruction lasting up to 6 weeks.

The term acute hydronephrosis may be used when after resolution of the kidney swelling, kidney function returns to normal. Chronic hydronephrosis may be used to describe the situation where kidney function is lost even if the obstruction and swelling have resolved.

Can hydronephrosis be prevented?

Since hydronephrosis is a situation that occurs because of an underlying cause, prevention depends upon avoiding the underlying cause. For example, individuals with kidney stones that cause ureteral obstruction and hydronephrosis may try to decrease the chance of a recurrent stone by keeping well hydrated.

REFERENCES:

eMedicine.com. Hydronephrosis and Hydroureter.
<http://emedicine.medscape.com/article/436259-overview>

Mulhollad MW, et al. Greenfield's Surgery Scientific Principles and Practice.  4th edition 2006 Lippincott Williams and Wilkins.

WebMd.com. Kidney Stones - Treatment Overview
<http://www.webmd.com/kidney-stones/kidney-stones-treatment-overview>

Medically reviewed by: Laurence Friedman, M.D., American Board of Internal Medicine with subspecialty in nephrology.


Medically Reviewed by a Doctor on 11/19/2013

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