"How Should Bilateral Hydronephrosis Be Treated?"

Treatment Methods for Hydronephrosis Depending on Underlying Causes

The treatment approach for hydronephrosis primarily hinges on the underlying cause. If it stems from congenital factors, such as ureteral stenosis or bladder neck obstruction, surgical intervention or treatment may be necessary based on individual circumstances. Conversely, for acquired conditions like benign prostatic hyperplasia (BPH) or kidney stones, corresponding medical or non-surgical treatments are warranted.

Causes

1. Ureteral Stenosis: If a patient has ureteral stenosis, it can impede the normal drainage of urine from the kidneys, leading to hydronephrosis. In this scenario, treatments like extracorporeal shockwave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL) can be considered.

2. Bladder Neck Obstruction: Bladder neck obstruction disrupts normal urination and can contribute to hydronephrosis. Treatment options include administering medications like tamsulosin hydrochloride sustained-release capsules or tolterodine tartrate tablets as prescribed by a doctor. In severe cases, open surgery may be necessary.

Treatment Approaches

1. Medication: For hydronephrosis caused by BPH, medications like tamsulosin hydrochloride sustained-release capsules and finasteride tablets can be prescribed to dilate local blood vessels and facilitate recovery.

2. Non-Surgical Treatment: If kidney stones or similar conditions are the culprits, medications like lithagogue granules or moneywort granules can be administered under medical guidance. Additionally, maintaining a healthy diet with light foods like rice porridge and cornmeal porridge is recommended, avoiding spicy and greasy foods that may hinder recovery.

Furthermore, it's essential to consider that hydronephrosis can also be caused by factors like tumors. In such cases, prompt consultation and treatment at a reputable hospital are strongly advised.