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Understanding Hydronephrosis

हाइड्रोनफ्रोसिस is the swelling of one or both kidneys due to urine backup. It is not a disease in itself but rather a physical symptom of an underlying condition, such as a blockage in the urinary tract or urine flowing backward from the bladder (reflux).

हाइड्रोनफ्रोसिस के कारण

Hydronephrosis can be congenital or acquired, caused by:

  • Blockages (Obstruction): Narrowing at the kidney-ureter junction (UPJO), ureter-bladder junction (UVJO), or posterior urethral valves (PUV).
  • वेसिकोयूरेटरल रिफ्लक्स (वीयूआर): Failure of the valve mechanism, letting urine travel backward into the kidney.

Signs of Hydronephrosis

While frequently diagnosed during routine prenatal ultrasounds, postnatal signs include:

  • Recurrent UTIs: High-fever urinary infections due to pooled urine in the kidney.
  • Abdominal/Flank Pain: Pain in the side or back, which may worsen with high fluid intake.
  • Hematuria: Blood in the urine.
  • Palpable Abdominal Mass: An enlarged, swollen kidney that can be felt during physical exam.

प्रारंभिक हस्तक्षेप क्यों मायने रखता है

While many cases of mild hydronephrosis resolve on their own, severe or worsening cases can indicate a significant blockage. If this obstruction is not addressed, the increased pressure can lead to irreversible kidney damage and loss of function. Regular monitoring and timely surgical intervention are vital to preserving the affected kidney's health and ensuring its proper growth.

व्यापक देखभाल दृष्टिकोण

Our approach is highly individualized, relying on advanced imaging like MAG3 diuretic renograms to assess kidney function and drainage. We prioritize non-operative management whenever safe, but when surgery is necessary, Dr. Chowdhary employs cutting-edge minimally invasive techniques. We also provide continuous follow-up care to monitor the kidney's development throughout childhood.

उन्नत देखभाल

उपचार के विकल्प

Active Surveillance

Regular monitoring with ultrasounds and scans for mild cases that are likely to resolve spontaneously.

Laparoscopic Pyeloplasty

Surgical correction of blockages at the ureteropelvic junction (UPJ) using minimally invasive keyhole surgery.

Robotic Pyeloplasty

Highly precise robotic-assisted reconstruction of the urinary tract for complex or delicate cases.

कदम-दर-कदम

सर्जिकल प्रक्रिया

01. Functional Assessment

We perform a MAG3 Renal Scan to determine the exact degree of obstruction and how much the kidney function is affected.

02. Laparoscopic Repair

Performed through three tiny 3mm incisions. The blockage is cleared and a wide opening is created for urine to flow freely.

03. Post-Operative Care

The child stays in the hospital for 48 hours. The internal stent is removed 4 weeks later via a simple daycare procedure.

Patient Stories

अभिभावकों से सुनें

"My 3-month-old had severe hydronephrosis. Dr. Sujit performed lap pyeloplasty. His reassuring nature gave us strength, and the scar is barely visible!"

प्रिया और अंकित शर्मा
माता-पिता

"We were terrified after the antenatal scan showed kidney swelling. Dr. Chowdhary guided us throughout. No surgery was needed in the end, just monitoring."

Vikram Singh
पिता

"Expert hands! Dr. Sujit's diagnostic clarity saved our son's kidney function. The recovery was much faster than we expected. Thank you, Doctor."

Aarti S.
माँ

"The laparoscopic surgery for our baby's condition was so precise. Dr. Chowdhary's confidence gave us immense peace of mind during a very stressful time."

अनिता शर्मा
शिशु रोगी की माँ

"हम डॉ. चौधरी के लिए ही दूसरे राज्य से आए थे। उनकी प्रतिष्ठा अच्छी तरह से योग्य है; उनका दृष्टिकोण बहुत वैज्ञानिक और व्यवस्थित है फिर भी बहुत देखभाल करने वाला है।"

करण सिंह
अभिभावक

"नर्सिंग स्टाफ और डॉ. सुजीत एक शानदार टीम हैं। उन्होंने हमारे शिशु की सर्जरी को बहुत देखभाल और गर्मजोशी से संभाला। किसी भी माता-पिता के लिए अत्यधिक अनुशंसित।"

प्रिया आर.
माँ
डॉ. सुजीत चौधरी

The Specialist Choice

डॉ. सुजीत चौधरी को क्यों चुनें?

Hydronephrosis requires a nuanced approach—deciding when to operate and when to wait is the hallmark of an expert paediatric urologist.

  • Decades of experience in managing neonatal urology.
  • High success rate in minimally invasive Pyeloplasty.
  • Precision imaging protocols to avoid unnecessary surgery.
  • Advanced post-operative pain management protocols.
  • Dedicated support for international and outstation patients.
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सामान्य प्रश्न

अक्सर पूछे जाने वाले प्रश्न

What is hydronephrosis?

Hydronephrosis is the swelling of one or both kidneys due to a buildup of urine, often caused by a blockage in the urinary tract.

Does antenatal hydronephrosis always require surgery after birth?

No, many cases of hydronephrosis detected on pregnancy scans resolve spontaneously and only require ultrasound monitoring and antibiotic prophylaxis.

What is the most common cause of hydronephrosis in children?

Pelviureteric Junction Obstruction (PUJO) is the most common cause, where the junction between the kidney and ureter is narrowed.

How is hydronephrosis evaluated?

Evaluation is done using postnatal ultrasound and a kidney scan (DTPA or MAG3) to measure kidney drainage and function.

When is surgery (pyeloplasty) indicated?

Surgery is indicated if there is a significant blockage, deterioration of kidney function, recurrent pain, or infections.

What is a pyeloplasty?

It is a surgical procedure to remove the blocked segment and reconnect the ureter to the kidney pelvis. It is highly successful.

Can pyeloplasty be performed laparoscopically or robotically?

Yes, minimally invasive laparoscopic or robotic pyeloplasty is standard, providing excellent results and quick recovery.

संपर्क करें

अपॉइंटमेंट बुक करें

Early diagnosis and treatment of hydronephrosis is key to saving kidney function. Schedule a consultation today.

क्लिनिक का पता

डी6, क्लब, 2, वसंत विहार के सामने, वसंत विहार, नई दिल्ली, दिल्ली 110057

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