Hydronephrosis 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).
Hydronephrosis can be congenital or acquired, caused by:
While frequently diagnosed during routine prenatal ultrasounds, postnatal signs include:
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.
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.
Regular monitoring with ultrasounds and scans for mild cases that are likely to resolve spontaneously.
Surgical correction of blockages at the ureteropelvic junction (UPJ) using minimally invasive keyhole surgery.
Highly precise robotic-assisted reconstruction of the urinary tract for complex or delicate cases.
We perform a MAG3 Renal Scan to determine the exact degree of obstruction and how much the kidney function is affected.
Performed through three tiny 3mm incisions. The blockage is cleared and a wide opening is created for urine to flow freely.
The child stays in the hospital for 48 hours. The internal stent is removed 4 weeks later via a simple daycare procedure.
"My 3-month-old had severe hydronephrosis. Dr. Sujit performed lap pyeloplasty. His reassuring nature gave us strength, and the scar is barely visible!"
"We were terrified after the antenatal scan showed kidney swelling. Dr. Chowdhary guided us throughout. No surgery was needed in the end, just monitoring."
"Expert hands! Dr. Sujit's diagnostic clarity saved our son's kidney function. The recovery was much faster than we expected. Thank you, Doctor."
"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."
"We traveled from another state just for Dr. Chowdhary. His reputation is well-deserved; his approach is very scientific and methodical yet very caring."
"The nursing staff and Dr. Sujit are a fantastic team. They handled our infant's surgery with so much care and warmth. Highly recommended for any parent."
Hydronephrosis requires a nuanced approach—deciding when to operate and when to wait is the hallmark of an expert paediatric urologist.
Hydronephrosis is the swelling of one or both kidneys due to a buildup of urine, often caused by a blockage in the urinary tract.
No, many cases of hydronephrosis detected on pregnancy scans resolve spontaneously and only require ultrasound monitoring and antibiotic prophylaxis.
Pelviureteric Junction Obstruction (PUJO) is the most common cause, where the junction between the kidney and ureter is narrowed.
Evaluation is done using postnatal ultrasound and a kidney scan (DTPA or MAG3) to measure kidney drainage and function.
Surgery is indicated if there is a significant blockage, deterioration of kidney function, recurrent pain, or infections.
It is a surgical procedure to remove the blocked segment and reconnect the ureter to the kidney pelvis. It is highly successful.
Yes, minimally invasive laparoscopic or robotic pyeloplasty is standard, providing excellent results and quick recovery.
Early diagnosis and treatment of hydronephrosis is key to saving kidney function. Schedule a consultation today.
D6, Club, 2, opposite Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057
+91 98732 06761
