Questions
I have had congenital urethral obstruction and have undergone 14 years of surgery, but there is still renal hydronephrosis of 24MM. Experts, does this degree of hydronephrosis qualify as severe? Recently, I often feel acid and sour in the lower back and leg on the affected side, does this indicate that the condition is worsening? Can pediatric urethral obstruction be treated?
Answers
Further relevant examinations, such as intravenous pyelography and CT scans, are needed to determine the condition. Younger patients can be monitored appropriately, and surgery should be considered promptly if there is progression. Patients aged between 50 and 60 should consider early surgery to maintain good kidney function. At least 1/5 of normal kidney tissue needs to be preserved to maintain minimum life expectancy. For asymptomatic infectious kidney disease patients, renal pelvis hydronephrosis can be observed every 6 to 12 months through ultrasound, CT, and intravenous pyelography. Obstruction at the ureterovesical junction may lead to kidney stones, so stones should be cleared.