At Manipal Hospitals, treatment for hydronephrosis depends on the degree of kidney swelling, the underlying causes, and the patient's overall health. A detailed evaluation is performed in the beginning to determine the level and cause of obstruction in the urinary system. This evaluation uses imaging and blood tests.
If the obstruction is mild and there is no loss of renal function, a close observation approach is recommended. This involves periodic imaging and clinical evaluation. In cases of significant obstruction, intervention is necessary to relieve the blockage and preserve kidney function. This may include placing a ureteral stent to maintain normal urine flow from the kidney to the bladder. Alternatively, a nephrostomy tube may be placed to drain excess urine from the kidney.
When obstruction is caused by kidney stones, tumours, strictures, or birth defects, stone treatment or surgical intervention may be advised. If an associated infection is present, doctors recommend treatment with antibiotics.
The patient is followed closely after treatment to monitor kidney function and to make sure the urine is draining normally. Early treatment and regular monitoring are important to prevent long-term kidney damage and maintain urinary tract health.
