Mild Hydronephrosis

[niannarag]

I have an ultrasound after hematurea and it shows Bilateral mild hydronephrosis with residual urine (after voiding) with no stone and obstruction.

what should i do next?

[niannarag]

I'm 20 years old male and have no underlying disease

I didn't have flank pain or pubic pain when i had hematurea. (i had hematurea along voiding but have dysurea only at the end of void). i went to hospital and i got ceftriaxone100mg for 3days.

my clinical was improve before i got first dose of ceftriaxone. i have no other symptom.

I had X-ray and Ultrasound KUB after i had symptom about 6 months. and it showed bilateral hydronephrosis with residual urine after voiding.

[el_em_en_oh]

Hi there. I'm so sorry you're having these urinary issues.

Hematuria AND bilateral hydronephrosis... Not fun for you.

Are you experiencing any flank pain?
What type of scan did they perform?
What medication(s) are you taking?
Do you have any other abnormal symptoms?

The reason I ask about what kind of scan was used to make the assessment, is that not all types of stones show up on X-rays. Cystine kidney-stones, for instance, won't show up on an X-ray/KUB and can only been seen with a CT or ultrasound.

I will say, however, that given the hydronephrosis is bilateral (both kidney's) and not unilateral (only in one kidney), the chances that you have stone blockage in both ureters simultaneously is remote (although possible, but as you don't have a history of kidney-stones ~I assume~ it's improbable).

Another cause of your hydronephrosis could be vesicoureteral reflux (when urine that dwells in the bladder flows back into the ureters and back up into the kidneys), which sometimes will resolve on its own.

Here are some other causes of hydronephrosis:

***
1) Ureteropelvic Junction Obstruction (obstruction where kidney and ureter meet): symptoms include swelling of pelvic region without any swelling of the ureter.
2) Vesico-Ureteral Reflux (backwash of urine): symptoms include a varying degree of hydronephrosis during one ultrasound evaluation or between exams.
3) Posterior Urethral Valves (abnormal flaps of tissue in the urethra): ultrasound findings can include bladder distention, bilateral kidney and ureteral dilation
4) Ectopic Ureter (abnormal flaps of tissue in the urethra): symptoms include hydronephrosis of the ureter and usually the upper part of the kidney.
5) Ureterocele (a cystic or balloon-like end of the ureter in the bladder that obstructs the ureter and may obstruct the bladder): symptoms include a cystic structure in the bladder associated with hydronephrosis of the ureter and usually the upper part of the kidney.
***

Post back and let us know what the outcome is.

Good luck my friend.