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The prognosis of hydronephrosis is extremely variable and depends on the condition leading to hydronephrosis, whether one (unilateral) or both (bilateral) kidneys are affected, the pre-existing kidney function, the duration of hydronephrosis (acute or chronic), and whether hydronephrosis occurred in developing or mature kidneys. [citation needed]
In both adults and children, masses, such as abscesses and tumors, can compress the ureter. In children, hydronephrosis can be caused by ureteropelvic junction obstruction, ectopic inserted ureter, primary megaureter and posterior urethral valve (Figure 13). In the latter, both kidneys will be affected.
Duplex kidney (Duplicated collecting system): A congenital condition where the kidney has two separate ureters (complete duplication) or a bifid ureter (partial duplication). In a coronal plane, both moieties may be visible, but in axial sections, one of the moieties may lack visible renal sinus structures, creating the faceless kidney sign.
Duplicated ureter or duplex collecting system is a congenital condition in which the ureteric bud, the embryological origin of the ureter, splits (or arises twice), resulting in two ureters draining a single kidney. It is the most common renal abnormality, occurring in approximately 1% of the population. [1] [2]
Obstructive uropathy (obstruction of urine flow from one or both kidneys) can lead to hydronephrosis with dilatation of the renal pelvis. [190] Kidney stones can also be formed in the kidneys (nephrolithiasis). [191] The cause of acute kidney injury in most cases is ischemic or toxic injury.
Without another way for urine to drain, pressure would rise within the urinary system and the kidneys would be damaged. [4] The most common cause of blockage necessitating a nephrostomy is cancer, especially ovarian cancer and colon cancer. Nephrostomies may also be required to treat pyonephrosis, hydronephrosis and kidney stones. [5]
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