How to treat benign prostatic hyperplasia and hydronephrosis?

Patient's question:

The hospital examination said it was benign prostatic hyperplasia, with creatinine levels over 170, bilateral kidney hydronephrosis, a small amount of fluid in the cavity, severe spinal deformation, and osteoporosis. After staying in the hospital for 8 days, I went home for rest and recovery until now. When discharged, a catheter was left in place, which was changed once in the middle. Now the catheter has been removed, but it has been discovered that I have urinary incontinence.

Doctor's answer:

Hello: It is recommended that you undergo a kidney function test.
Treatment of Renal Hydronephrosis:
Any narrowing or obstruction in the urinary tract, as well as normal dysfunction of the neuromuscular system, can impede urine flow, leading to urinary tract obstruction. As urine cannot be expelled smoothly, pressure gradually increases in the upper parts of the tract, causing dilation of the tubes. Ultimately, this results in renal hydronephrosis, expansion of the kidneys, thinning of the renal parenchyma, and reduced kidney function. If bilateral obstruction occurs, it may lead to severe consequences such as uremia.
Treatment Principles:
1. Remove the cause and relieve the obstruction.
2. If the condition is too poor or the cause is complex, percutaneous nephrostomy drainage may be performed initially.
3. In cases of severe hydronephrosis or pyonephrosis with good function in the contralateral kidney, nephrectomy may be performed.

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