Does hydronephrosis require surgery?

Patient's question:

When I was young, I was always very healthy, but I didn't eat or rest regularly, especially breakfast. As a result, I've recently been feeling a bit of pain in my right kidney. I hate going to the hospital for follow-up checks, but I was diagnosed with left kidney hydronephrosis through ultrasound. The doctor recommended that I have surgery. Is surgery necessary for kidney hydronephrosis?

Doctor's answer:

It is not necessary to have surgery. The treatment goal for hydronephrosis is to completely eliminate the cause of the condition, as much as possible to resolve intestinal obstruction, stabilize renal function, relieve symptoms, completely eliminate infection, and repair normal anatomical structures.
Second, strict treatment: If the condition of a hydronephrosis patient is relatively mild and the disease progresses slowly, it can be observed that renal function has reached a balanced and stable state. However, regular monitoring of the progress of hydronephrosis should be conducted.
a. Self-imposed obstruction, such as physiological hydronephrosis in pregnant women.
Next, local treatment for obstructive inflammation can be resolved through local interventions, such as adhesion binding, fibrosis resection, vascular transposition and anastomosis, and complete stone removal.

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