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what is the prognosis for an 85 year old woman with diabetes, high blood pressure recently diagnosed with hydronephrosis

March 8, 2009 - 9:42am 306 reads 4 comments
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Alison Beaver

Hi mrandmrs,

I'm glad you found this site! I can provide a few basic answers, but will probably need some more information from you.

According to MedlinePlus' Hydronephrosis site, "Treatment and prognosis for [unilateral] hydronephrosis depend on what is causing the kidney swelling."

It goes on to mention that hydronephrosis is not a disease in itself, but is caused by one of the following:
* Acute unilateral obstructive uropathy
* Chronic unilateral obstructive uropathy
* Vesicoureteric reflux (backflow of urine from bladder to kidney)
* Nephrolithiasis (kidney stones)

Did your physician tell you more about how and why you have the hydronephrosis? There is probably a strong correlation or cause between this diagnosis and having diabetes, however, did the doctor tell you what the cause(s) are?

Knowing what is causing your hydronephrosis is crucial, as to answer your question about your prognosis depends on the type of treatment. Also, how long has your hydronephrosis gone untreated, and what are you currently doing to treat this diagnosis? Has your doctor made any recommendations to consider (including surgery)? I am assuming you have both of your kidneys; is one or both of them affected?

I hope to hear back from you soon; we can help you find some answers!

In the meantime, EmpowHer has some great resources for hydronephrosis. I understand that you wanted to know more than just about this condition; you want to know about this condition in combination with your other conditions of HBP and diabetes, as well as your age.

- EmpowHer Medical Encyclopedia on Hydronephrosis. This site also includes additional resources for you to review, and feel free to ask additional questions.

Take care.

Anonymous

the diagnosis of hydronephrosis was done by a urologist. There is a prolapse of most organs.In addition, it would dangerous to have a spinal so the procedure will be done with a local. There are continuous kidney infections so the procedure always needs to be delayed. Both kidneys are affected. This has gone untreated for more than a year. Currently on antibiotics as usual whenever the infections flair up. The internist states the kidneys will fail if not treated in a timely manner. But the procedure cannot be done as there is always a kidney infection after a blood workup.

Anonymous

What is causing the hydronephrosis is the drop of the uterus, bladder, etc. An operation was performced by a gyn with mesh 10years ago.
This current urologist claims it is a mess. The only thing that can be done is for the bladder to be sewn and the vagina to be sewn also. An interal sling will be put in for incontinence.

Anonymous

Transvaginal Mesh Procedure There was a site regarding FDA warning of having TMP and causing other problems. I believe this was the cause for the hydronephrosis. Has anyone read about this or initiated a lawsuit?

http://www.medpagetoday.com/OBGYN/UrinaryIncontinence/11405

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