
How is bilateral hydronephrosis treated?
Disease description:
Both legs are swollen with significantly reduced urination. During a recent hospital check-up, I was diagnosed with bilateral hydronephrosis. Could you please advise on the best treatment options for this condition?

Treatment for bilateral hydronephrosis:
1. Conservative treatment: Applicable to patients with mild or asymptomatic bilateral hydronephrosis. This primarily involves observation and monitoring to control the condition, including regular follow-up imaging examinations, as well as maintaining adequate fluid intake and healthy urination habits, to reduce the degree of hydronephrosis and relieve discomfort.
2. Local treatment: Applicable to patients with obvious symptoms such as infection or pain caused by bilateral hydronephrosis. Main methods include catheterization and percutaneous drainage. Catheterization involves inserting a urinary catheter to drain urine from the bladder, thereby relieving pressure from hydronephrosis; percutaneous drainage involves inserting a needle or catheter into the fluid-accumulated area to drain the accumulated fluid, thus alleviating symptoms and reducing risks.
3. Surgical treatment: Applicable to patients with severe bilateral hydronephrosis or those who do not respond to conservative or local treatments. Surgical options vary and include laparoscopic surgery and open surgery, aiming to remove the underlying causes of hydronephrosis, such as urinary tract stones or congenital abnormalities, thereby restoring normal urinary function.