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Hydronephrosis is the result of any of several abnormal pathophysiological occurrences. Structural abnormalities of the junctions between the kidney, ureter and bladder that lead to hydronephrosis can occur during fetal development.
It is the most common cause of hydronephrosis detected in utero and is the most common anomaly detected on prenatal ultrasounds. [1] [2] It occurs in approximately 1 in every 1500 live births, is most commonly seen in males, involves the left ureter twice as often as the right ureter. [1] [2] UPJ obstruction is transient in most cases. [2]
The renal pelvis is the location of several kinds of kidney cancer and is affected by infection in pyelonephritis. [citation needed] A large "staghorn" kidney stone may block all or part of the renal pelvis. The size of the renal pelvis plays a major role in the grading of hydronephrosis.
Kidney stones are becoming more common with time, and their incidence is believed to increase recently due to unhealthy diet habits. The passage of kidney stones into ureters might lead to their impaction and the development of local inflammatory process around the stone in addition to the obstruction of the ipsilateral kidney and build up of pressure manifested as hydronephrosis.
590 Infections of kidney. 590.0 Chronic pyelonephritis w/o lesion of renal medullary necrosis; 590.1 Pyelonephritis, acute, w/o necrosis; 591 Hydronephrosis; 592 Calculus of kidney and ureter. 592.0 Calculus, kidney; 592.1 Calculus, ureter; 592.9 Calculus, urinary, unspec. 593 Other disorders of kidney and ureter. 593.2 Cyst, kidney, acquired ...
A narrowed ureter may lead to ureteric enlargement and cause swelling of the kidneys (hydronephrosis). [13] Associated symptoms may include recurrent infections, pain or blood in the urine; and when tested, kidney function might be seen to decrease. [13] These are considered situations when surgery is needed. [13]