This video shows Two large ureteric stones with severe hydronephrosis and hydroureter.
Ureteral stones are kidney stones that are stuck within one of the two ureters leading from the kidney to the bladder.
Signs and symptoms of kidney and ureteral stones may include:
Pain in the back and side, often just below the ribs.
Pain that changes, from the kidney to the level of blockage into the ureter.
Pain with urination.
Nausea and/or vomiting.
Frequency of micturition
Urine that is cloudy or has a strong, foul smell.
Blood in the urine.
Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy.
Medium to large stones eventually begins to move from the kidney to the ureter, where they get stuck. The main symptom is severe pain on either side of the back. This pain results from the body's attempt to move the stone out of the ureter and into the bladder.
If a blocked ureter is causing your symptoms, It is advised to do any of the following:
insert a ureteral stent, which is a tube that allows the ureter to drain into the bladder.
insert a nephrostomy tube, which allows the blocked urine to drain through the back.
prescribe antibiotics to control infection.
Hydronephrosis is defined as distention of the renal calyces and pelvis with urine as a result of obstruction of the outflow of urine distal to the renal pelvis. Hydroureter is defined as a dilation of the ureter.
If it's left untreated for too long, this pressure can cause your kidneys to lose function permanently. Mild symptoms of hydronephrosis include urinating more frequently and an increased urge to urinate. Other potentially severe symptoms you may experience are incomplete voiding or bladder emptying.
Treatment for hydronephrosis depends on the underlying cause. Although surgery is sometimes needed, hydronephrosis often resolves on its own. Mild to moderate hydronephrosis. Even so, your doctor may recommend preventive antibiotic therapy to lower the risk of urinary tract infections.
Hydronephrosis is the swelling of a kidney due to a build-up of urine. It happens when urine cannot drain out from the kidney to the bladder from a blockage or obstruction. Hydronephrosis can occur in one or both kidneys. The main function of the urinary tract is to remove wastes and fluid from the body.
Left untreated, severe hydronephrosis can lead to permanent kidney damage. Rarely, it can cause kidney failure. But hydronephrosis typically affects only one kidney and the other kidney can do the work for both.
Hydronephrosis is a true emergency in patients with only one kidney and should the person believe that the lone kidney is at risk, urgent medical care should be accessed.
Severe cases of urinary blockage and hydronephrosis can damage the kidneys and lead to kidney failure. If kidney failure occurs, treatment will be needed with either dialysis or a kidney transplant. However, most people can recover from hydronephrosis if treated promptly.
Hydronephrosis caused by pregnancy usually goes away without treatment once the pregnancy comes to an end. If hydronephrosis is diagnosed before birth and is not severe, it usually gets better on its own without the need for treatment. About 4 out of every 5 cases will resolve on their own before or within a few months of birth and will cause no long-term problems for mother or baby. The remaining cases may require treatment with antibiotics to prevent kidney infections, and in some cases, surgery may be needed.
What are the treatment options for hydronephrosis?
• Insert a ureteral stent, which is a tube that allows the ureter to drain into the bladder.
• Insert a nephrostomy tube, which allows the blocked urine to drain through the back.
• Prescribe antibiotics to control infection.

свернуть