What should I do if I have bilateral hydronephrosis?

For bilateral hydronephrosis, it is essential to first determine the severity and underlying cause, then select an appropriate treatment based on the clinical condition. 1. Mild or asymptomatic cases: For mild or asymptomatic bilateral hydronephrosis, conservative management may be adopted, including regular follow-up imaging examinations, maintaining adequate fluid intake, and healthy urination habits. 2. Symptomatic cases: If bilateral hydronephrosis causes symptoms such as infection or pain, local interventions like urinary catheterization or percutaneous nephrostomy drainage can be used to reduce pressure from the accumulated fluid and relieve symptoms. 3. Severe cases: In severe bilateral hydronephrosis, or when conservative and local treatments are ineffective, surgical intervention may be necessary—such as laparoscopic or open surgery—to remove the underlying cause of the obstruction.