# Service Hydronephrosis.Html **Source:** https://ar.drsujitchowdhary.com/service-hydronephrosis.html **Language:** Arabic --- # Hydronephrosis in Children المنزل / الخدمات / الاستسقاء الكلى ![Service Illustration](assets/images/services/hydronephrosis.png) ### Understanding Hydronephrosis **الاستسقاء الكلى** 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). ### أسباب الاستسقاء الكلى Hydronephrosis can be congenital or acquired, caused by: - **Blockages (Obstruction):** Narrowing at the kidney-ureter junction (UPJO), ureter-bladder junction (UVJO), or posterior urethral valves (PUV). - **ارتجاع الحليلة الحيلية (VUR):** Failure of the valve mechanism, letting urine travel backward into the kidney. ### Signs of Hydronephrosis While frequently diagnosed during routine prenatal ultrasounds, postnatal signs include: - **التهابات المسالك البولية المتكررة:** High-fever urinary infections due to pooled urine in the kidney. - **Abdominal/Flank Pain:** Pain in the side or back, which may worsen with high fluid intake. - **بيلة دموية:** Blood in the urine. - **Palpable Abdominal Mass:** An enlarged, swollen kidney that can be felt during physical exam. ### أهمية التدخل المبكر 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. ### نهج الرعاية الشاملة 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. #### خدمات أخرى - الخصية غير النازلة - جراحة الإحليل التحتاني - جراحة الأطفال الروبوتية - التهاب المسالك البولية - ارتجاع بولي مثاني - الفتق والقيلة الاستسقاء - الاستسقاء الكلى - انسداد الحالب الكلوي - الشبم - المثانة العصبية - خلل التبول - نظام الكلى المزدوج - PUV - جراحة المسالك البولية بالمنظار للأطفال والحصوات - الفتق المثاني والإفراغي #### هل تحتاج إلى استشارة؟ احجز موعدًا مع الدكتور سوجيت تشودري اليوم. احجز الآن #### رعاية متقدمة ## خيارات العلاج ### المراقبة النشطة Regular monitoring with ultrasounds and scans for mild cases that are likely to resolve spontaneously. ### استئصال الحويضة بالمنظار Surgical correction of blockages at the ureteropelvic junction (UPJ) using minimally invasive keyhole surgery. ### تجميل الحوض الروبوتي Highly precise robotic-assisted reconstruction of the urinary tract for complex or delicate cases. #### Step-by-Step ## العملية الجراحية #### 01. Functional Assessment We perform a MAG3 Renal Scan to determine the exact degree of obstruction and how much the kidney function is affected. #### 02. Laparoscopic Repair Performed through three tiny 3mm incisions. The blockage is cleared and a wide opening is created for urine to flow freely. #### 03. Post-Operative Care The child stays in the hospital for 48 hours. The internal stent is removed 4 weeks later via a simple daycare procedure. #### Patient Stories ## اسمع من الآباء "My 3-month-old had severe hydronephrosis. Dr. Sujit performed lap pyeloplasty. His reassuring nature gave us strength, and the scar is barely visible!" ##### بريا وأنكيت شارما الوالدين "We were terrified after the antenatal scan showed kidney swelling. Dr. Chowdhary guided us throughout. No surgery was needed in the end, just monitoring." ##### فيكرام سينغ أب "Expert hands! Dr. Sujit's diagnostic clarity saved our son's kidney function. The recovery was much faster than we expected. Thank you, Doctor." ##### آرتي س. أم "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." ##### أنيتا شارما Mother of infant patient "لقد سافرنا من ولاية أخرى فقط لرؤية الدكتور تشودري. سمعته مستحقة عن جدارة؛ منهجه علمي ومنهجي للغاية ولكنه أيضًا متعاطف للغاية." ##### كاران سينغ ولي الأمر فريق التمريض والدكتور سوجيت فريق رائع. لقد تعاملوا مع جراحة طفلنا الرضيع بالكثير من العناية والدفء. يوصى به بشدة لأي والد. ##### بريا ر. أم ![Dr. Sujit Chowdhary](assets/images/doctor.jpeg) #### The Specialist Choice ## لماذا تختار الدكتور سوجيت تشودري؟ Hydronephrosis requires a nuanced approach—deciding when to operate and when to wait is the hallmark of an expert paediatric urologist. - Decades of experience in managing neonatal urology. - High success rate in minimally invasive Pyeloplasty. - Precision imaging protocols to avoid unnecessary surgery. - Advanced post-operative pain management protocols. - Dedicated support for international and outstation patients. Read Profile #### استفسارات شائعة ## الأسئلة الشائعة ##### What is hydronephrosis? Hydronephrosis is the swelling of one or both kidneys due to a buildup of urine, often caused by a blockage in the urinary tract. ##### Does antenatal hydronephrosis always require surgery after birth? No, many cases of hydronephrosis detected on pregnancy scans resolve spontaneously and only require ultrasound monitoring and antibiotic prophylaxis. ##### What is the most common cause of hydronephrosis in children? Pelviureteric Junction Obstruction (PUJO) is the most common cause, where the junction between the kidney and ureter is narrowed. ##### How is hydronephrosis evaluated? Evaluation is done using postnatal ultrasound and a kidney scan (DTPA or MAG3) to measure kidney drainage and function. ##### When is surgery (pyeloplasty) indicated? Surgery is indicated if there is a significant blockage, deterioration of kidney function, recurrent pain, or infections. ##### What is a pyeloplasty? It is a surgical procedure to remove the blocked segment and reconnect the ureter to the kidney pelvis. It is highly successful. ##### Can pyeloplasty be performed laparoscopically or robotically? Yes, minimally invasive laparoscopic or robotic pyeloplasty is standard, providing excellent results and quick recovery. #### تواصل معنا ## احجز موعدًا Early diagnosis and treatment of hydronephrosis is key to saving kidney function. Schedule a consultation today. ##### عنوان العيادة D6, Club, 2, مقابل فاسانت فيهار، فاسانت فيهار، نيودلهي، دلهي 110057 ##### اتصال للطوارئ +91 98732 06761 ##### ملف جوجل عرض الملف الشخصي والمراجعات