Hydronephrosis occurs when urine builds up in the kidneys and cannot drain out to the bladder. The kidneys swell from the excess urine. The condition may affect one kidney or both. Hydronephrosis is not a disease itself. It is a sign of another disease or condition affecting the kidneys.
Hydronephrosis is caused by one of two problems in the urinary system. A blockage may prevent urine from draining out of the kidneys. Or, a condition called reflux may cause urine to flow back into the kidneys from the bladder.
Conditions that may cause hydronephrosis include:
The following factors increase your chances of developing hydronephrosis:
Hydronephrosis may or may not cause any symptoms. If symptoms occur, they may include:
Your doctor will ask about your symptoms and medical history. A physical exam will be done. It may involve examination of the pelvis or rectum to feel for blockages. You will likely be referred to an urologist and/or nephrologist for further diagnosis and treatment.
Your bodily fluids may be tested. This can be done with:
Your internal structures may need to be viewed. This can be done with:
Some causes of hydronephrosis resolve without treatment, such as pregnancy and kidney stones.
Treatment options include:
In general, the causes of hydronephrosis cannot be prevented. Prompt treatment of conditions that cause hydronephrosis reduces the risk of complications, such as kidney failure.
American Kidney Fund
National Kidney Foundation
BC Children’s Hospital
The Kidney Foundation of Canada
Kidney disease and kidney failure. National Kidney and Urologic Disease Information Clearinghouse website. Available at: http://kidney.niddk.nih.gov/kudiseases/topics/failure.asp. Updated November 15, 2012. Accessed July 12, 2013.
Your child has hydronephrosis. National Kidney Foundation website. Available at: http://www.kidney.org/atoz/content/hydronephrosis.cfm. Accessed July 12, 2013.
Last reviewed May 2014 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.