1, conservative treatment
Hydronephrosis is mild, and the disease progresses slowly. It remains to be seen that the renal function has reached a balanced and stable state, but the progress of hydronephrosis should be checked regularly. Obstruction that can be relieved by itself, such as physiological hydronephrosis in pregnant women.
2. Local treatment
How to treat hydronephrosis can be solved by local treatment, such as adhesion separation, fiber band cutting, vascular transposition anastomosis, stone removal and so on. When the local compression time is too long and the local development of ureter is seriously damaged, this section of ureter should be removed and anastomosed again. When the obstruction has caused severe hydronephrosis, it is necessary to make a fistula and drain first.
3. Surgical therapy
Hydronephrosis is getting worse, with obvious clinical symptoms, decreased renal function, clear causes of obstruction, and complications, which require surgical treatment. Clear the obstructive diseases that cause hydronephrosis, such as stones should be removed; Relieve the compression of fibrous cord or vagus nerve blood vessels; Prostatic hyperplasia can be excised or excised. Severe hydronephrosis leads to complete loss of renal function or severe infection with empyema, but the contralateral renal function is good and nephrectomy is feasible.