How is hydronephrosis treated in pregnant women?
Disease description:
My wife was diagnosed with hydronephrosis (kidney swelling due to urine buildup) just a few months after becoming pregnant. I would like to ask, what should be done if a pregnant woman has hydronephrosis?
Doctor's answer (1)
Dr. Yang Guang
The treatment for hydronephrosis during pregnancy depends on the specific cause, severity of the condition, and the overall health status of the pregnant woman. Below are some common treatment approaches:
1. Observation and conservative management: If the hydronephrosis is mild or moderate and there are no obvious symptoms such as infection or pain, doctors may recommend regular monitoring through ultrasound examinations to track the progression. Pregnant women should maintain adequate hydration, avoid constipation, and reduce additional pressure on the urinary system.
2. Antibiotic therapy: If hydronephrosis is accompanied by a urinary tract infection, doctors may prescribe antibiotics that are safe for use during pregnancy to control the infection promptly and prevent deterioration. Antibiotics should be selected carefully to ensure no harm to the fetus.
3. Surgical intervention: For severe hydronephrosis with symptoms such as difficulty urinating or impaired kidney function, surgical treatment may be necessary. Procedures such as percutaneous nephrostomy may be performed to relieve pressure on the kidneys and alleviate symptoms.
If symptoms worsen or persist, prompt medical attention is advised.
