# Hydronephrosis.Php **Source:** https://drsujitchowdhary.com/service/hydronephrosis.php **Language:** French --- # Hydronephrosis Treatment in Delhi Accueil / Services / Hydronéphrose ![Healthy Kidney vs Hydronephrosis Diagram](../assets/images/services/hydronephrosis.jpg) ### Comprendre l'hydronéphrose Hydronéphrose is a condition characterized by swelling and dilation of the renal pelvis and calyces due to hindered urine flow or vesicoureteric reflux. When seeking specialized **Hydronephrosis treatment in Delhi**, parents require an experienced pediatric urologist to distinguish between self-resolving fetal dilation and progressive pelvic obstruction. With over 31+ years of experience, Dr Sujit Chowdhary provides evidence-based diagnostic protocols and keyhole surgical solutions. ### Causes de l'hydronéphrose Pediatric hydronephrosis stems from structural blockages or abnormal urinary mechanics: - **Pelvi-Ureteric Junction Obstruction (PUJO):** Congenital narrowing at the kidney-ureter junction (detailed on our PUJO treatment page). - **Vesicoureteric Reflux (VUR):** Incompetent ureteric valve letting urine backflow into the kidney (learn more about VUR management). - **Duplex System Anomalies:** Ureteric duplication or ureterocele causing upper pole swelling (see duplex renal system care). ### Signs and Symptoms Although frequently detected on routine prenatal ultrasounds, postnatal manifestations include: - **Recurrent Febrile UTIs:** High-fever infections des voies urinaires due to stagnant urine pool in the renal pelvis. - **Flank or Abdominal Pain:** Episodic side or back pain exacerbated by high fluid intake (Dietl's crisis). - **Masse abdominale palpable :** Enlarged, fluid-filled renal swelling felt during physical infant examination. ### Pourquoi l'intervention précoce est importante Prompt clinical evaluation of **Hydronéphrose chez les enfants** is essential when high-grade kidney dilation threatens functional nephron preservation or causes recurrent urinary tract infections. Timely pyeloplasty eliminates backpressure and restores normal renal development. ### Approche de soins complets Our pediatric urology clinic in Vasant Vihar, New Delhi, emphasizes objective functional monitoring: - **MAG3 Diuretic Renography:** Quantitative evaluation of split kidney function and urinary drainage half-times. - **Laparoscopic Keyhole Pyeloplasty:** Dissecting the blocked segment and reconstructing a wide, non-obstructed junction. - **Pyéloplastie robotique :** Ultra-precise 3D robotic reconstruction for complex renal anatomies. #### Autres services - Chirurgie de l'Hypospadias - Chirurgie robotique pédiatrique - UTI Treatment - Reflux Vésico-Uretéral - Hernie et hydrocèle - Hydronéphrose - JPU - Phimosis - Vessie neuropathique - Dysfonctionnement de la miction - Système rénal duplex - PUV - Endo-urologie Pédiatrique et Calculs - Exstrophie Épispadias #### Besoin d'une consultation ? Prenez rendez-vous avec le Dr Sujit Chowdhary dès aujourd'hui. Réserver maintenant #### Soins avancés ## Options de traitement ### Active Ultrasound Surveillance Serial ultrasonic monitoring and antibiotic prophylaxis for mild antenatal dilation likely to resolve spontaneously. ### Pyéloplastie laparoscopique Minimally invasive keyhole repair creating a funnel-shaped wide junction to drain urine freely from the kidney. ### Robotic-Assisted Pyeloplasty High-definition 3D robotic reconstruction ensuring flawless suturing and rapid infant recovery. #### Étape par Étape ## Le processus chirurgical #### 01. Functional MAG3 Evaluation Quantifying renal clearance, transit times, and differential function to confirm true mechanical obstruction. #### 02. Keyhole Pyeloplasty Performing precise laparoscopic or robotic pelvi-ureteric reconstruction with double-J stent insertion. #### 03. Stent Removal & Follow-Up Stent removal after 4 weeks via simple daycare procedure, followed by follow-up ultrasound at 3 months. #### Histoires de succès ## Entendre les parents "My 3-month-old infant had severe kidney swelling. Consulting Dr. Sujit for Hydronephrosis treatment in Delhi was the best decision—his laparoscopic pyeloplasty was completely successful." ##### Priya & Ankit Sharma Parents "Dr. Chowdhary's diagnostic precision in evaluating Hydronephrosis in Children saved us from an unnecessary procedure. His active surveillance plan gave us total confidence." ##### Vikram Singh Père "Mains expertes ! La clarté diagnostique du Dr Sujit a sauvé la fonction rénale de notre fils. La récupération a été beaucoup plus rapide que prévu. Merci, Docteur." ##### Aarti S. Mère "La précision de la chirurgie du Dr. Chowdhary est incroyable. Sa confiance nous a apporté une immense tranquillité d'esprit pendant une période très stressante." ##### Anita Sharma Mère « Nous avons voyagé depuis une autre ville juste pour le Dr Chowdhary. Son approche est très scientifique et méthodique, tout en étant très attentionnée. » ##### Karan Singh Parent ![Dr. Sujit Chowdhary](../assets/images/doctor.jpeg) #### Spécialiste en urologie ## Pourquoi choisir le Dr Sujit Chowdhary ? Managing renal swelling requires careful discrimination between dynamic obstruction and non-obstructive dilation. Dr. Sujit Chowdhary provides advanced **Hydronephrosis treatment in Delhi** utilizing precise MAG3 nuclear scans and keyhole pyeloplasty. - 31+ Years of Exclusive Paediatric Urology & Keyhole Reconstructive Experience. - Leading specialist in managing severe **Hydronéphrose chez les enfants** . - High success rate in Laparoscopic & Robotic Anderson-Hynes Pyeloplasty. - Conservative monitoring protocol to avoid unnecessary surgeries. - Comprehensive follow-up ensuring long-term renal function preservation. En savoir plus sur le médecin #### Requêtes fréquentes ## Foire aux questions ##### What is hydronephrosis in infants and children? Hydronephrosis is the anatomical swelling and dilation of the kidney's urine-collecting structure (renal pelvis and calyces). It occurs when urine backup is caused by an obstruction along the urinary tract or backward reflux from the bladder. ##### Does antenatal hydronephrosis detected on fetal scans always require surgery? No. Over 80% of antenatal (fetal) hydronephrosis cases are mild or transient physiological dilations that resolve spontaneously during the child's first year without requiring surgical intervention. ##### What is the most common cause of pediatric hydronephrosis? Pelvi-Ureteric Junction Obstruction (PUJO) is the most frequent cause, where a congenital narrowing at the renal pelvis-ureter junction blocks urine flow from the kidney to the bladder. ##### How is kidney function evaluated in a child with hydronephrosis? Evaluation includes high-resolution postnatal renal ultrasound combined with a MAG3 or EC diuretic radionuclide scan to measure exact differential kidney function and clearance drainage times. ##### When is laparoscopic or robotic pyeloplasty surgery recommended? Surgery (Pyeloplasty) is indicated if serial nuclear scans demonstrate progressive obstruction, deterioration of differential renal function below 40%, severe renal pelvis enlargement, or recurrent febrile urinary tract infections. #### Contactez-nous ## Prendre Rendez-vous Un diagnostic et un traitement précoces de l'hydronéphrose sont essentiels pour préserver la fonction rénale. Prenez rendez-vous dès aujourd'hui. ##### Adresse de la clinique D6, Club, 2, en face de Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057 ##### Appeler en cas d'urgence +91 98732 06761 ##### Profil Google Voir le profil et les avis