Patient's question:
I have had surgery for congenital urinary tract obstruction for fourteen years, but there is still 24MM hydronephrosis. Could you please ask the expert if the degree of hydronephrosis is severe? Recently, I often feel aching and soreness in the waist and leg on the affected side. Is this a sign that the condition is worsening? My kidney function and urinalysis are normal. Can pediatric urinary tract obstruction be treated?Doctor's answer:
Improve relevant examinations, such as intravenous pyelography, CT, etc., to determine the condition. Estimate the treatment method 1. Age: It is appropriate to observe young and middle-aged people, and if the condition progresses, surgery should be performed in a timely manner. For those aged 50-60, early surgery should be considered to maintain good renal function. 2. Estimate renal function and obstruction: a. At least 1/5 of normal kidney tissue should be preserved to maintain minimal life support. If necessary, drainage of the kidney should be avoided to prevent infection. b. For asymptomatic infectious kidney disease patients, ultrasound, CT, and intravenous pyelography can be used to observe hydronephrosis every 6 to 12 months. If there is no progression, no surgery is required. c. Obstruction at the ureteropelvic junction may lead to the formation of stones, so the stones should be removed.