Original Research Article
Year: 2019 | Month: November | Volume: 6 | Issue: 11 | Pages: 26-36
A Study of Unilateral Hydronephrosis (A Clinico-Radiological-Pathological Correlation) In 100 Consecutive Cases
Dr. Aman Singhal1, Dr. Nikita Jain2, Dr. Chandra Ray Chaudhuri3
1Assistant Professor- Dept of Gen. Surgery, Dhiraj Hospital, Waghodia Road, Piparia, Vadodara, Gujarat - 390019.
2Junior Resident 3rd year, Dept of Radiology, Dhiraj Hospital, Waghodia Road, Piparia, Vadodara, Gujarat - 390019.
3HOD- Dept of Radiology, Dhiraj Hospital, Waghodia Road, Piparia, Vadodara, Gujarat - 390019.
Corresponding Author: Dr. Aman Singhal
ABSTRACT
Introduction: The term hydronephrosis is generally defined as dilatation of the renal pelvis and calyces resulting from intermittent and incomplete obstruction to the flow of urine. A unilateral hydronephrosis occurs when the obstruction is above the level of the bladder.. Diagnostic workup depends on the age of the patient, Laboratory tests such as kidney function test, urinalysis. Imaging studies such as Ultrasonography, X Ray KUB, intravenous urogram (IVU), CT or MRI are also important investigations in determining the presence and/ or cause of hydronephrosis.
Material and Methods: All patients of Unilateral Hydronephrosis from Surgical OPD and/or patients admitted in surgical wards of hospital. Inclusion criteria: Patients with Clinical, pathological and radiological confirmation which is suggestive of Unilateral Hydronephrosis. Exclusion criteria: Bilateral Hydronephrosis, Concomitant morbidity.
Results: In our study maximum cases were between age of 21 to 40 i.e. 55%. and were males. 80% had chief complaint of pain. In 86% patients calculi was visualized on plain X-ray KUB. On Ultrasound KUB maximum cases (57%) had obstruction on the right side. Grade of hydronephrosis on ultrasound were maximally of the category of mild hydronephrosis (48%). On IVP, maximum patient had Grade 1 hydronephrosis (48%). Out of total of 100 cases maximum number of patients in our study was diagnosed as Ureteric calculi (70%), renal calculi (18%), Congenital PUJ obstruction in 11% cases, ureteric stricture in 1%. Most common intervention which was done was URS with DJ stenting in 51% cases.
Key words: Unilateral Hydronephrosis, Ureteric calculi, PUJ Obstruction
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