Nephroptosis

Nephroptosis (from the Greek "nephros" - kidney and "ptosis" - omission) is a condition when the kidney is displaced from its normal position in the abdominal cavity down. This happens when the ligaments that hold the organ together weaken. Patients note:

  • pain in the side or lower back that gets worse with movement
  • nausea;
  • vomit;
  • rise in body temperature;
  • frequent urination.

Sometimes it is asymptomatic and is discovered by chance during a routine examination. Depending on the severity of the condition, it is treated conservatively or surgically.

In the department of urology of the K + 31 clinic, professors, doctors and candidates of medical sciences conduct appointments. Doctors have been successfully treating diseases of the urinary organs for more than 14 years. Thanks to periodic internships in leading clinics in Europe, urologists have modern knowledge and skills to treat diseases of varying complexity. The department is equipped with advanced surgical equipment, which allows for high-quality diagnostics and therapy.

Causes of nephroptosis

Diseases and injuries change the structure of the kidney and affect the ligaments that hold it together. These states include:

  • Congenital long renal vessels and weak ligaments.
  • Strong and rapid weight loss - the fat pad that maintains the urinary organs in their normal position is reduced.
  • Pregnancy - the size of the uterus increases, which puts pressure on the urinary organ.
  • Abdominal trauma
  • Some forms of exercise, such as boxing and wrestling, damage supporting structures.
  • A congenital anomaly in the structure of an organ and the apparatus that supports it.
  • Pathological conditions - tumors and cysts;
  • Cystitis, pyelonephritis and other diseases of the urinary tract.
  • Increased intra-abdominal pressure due to obesity, pregnancy, the presence of tumors, etc. This leads to the displacement of the organs of the urinary system from their normal position.
  • Work that involves lifting and carrying heavy loads can lead to nephroptosis, especially in people with insufficient abdominal wall muscle tone.

Nephroptosis can occur due to a combination of several causes. Thanks to their experience and high qualifications, urologists at the K + 31 clinic conduct a thorough examination, determine the exact cause and choose a treatment method based on international protocols.

Symptoms of kidney prolapse

Neproptosis may cause no symptoms and may be an incidental finding during an x-ray or ultrasound examination. Patients complain of the following symptoms:

  • Lower back pain is sharp or dull and gets worse with exercise.
  • Painful urination.
  • Blood in the urine is a sign of an infection, tumor, or other disease that can lead to nephroptosis.
  • Frequent urination is a sign of an inflammatory disease of the urinary tract.
  • Reduced urine volume - prolapse leads to impaired kidney function.
  • A feeling of heaviness in the abdominal cavity - occurs due to pressure on neighboring organs.
  • High blood pressure due to a malfunction of the urinary organ.

If you notice any of these symptoms, contact your urologist at the K+31 clinic. Bring your previous test results to your appointment. Hospital records and a list of medications you are taking. The doctor will listen to complaints, conduct an examination, get acquainted with the medical history and offer an examination plan to confirm or exclude the suspected disease.

Diagnosis

To diagnose nephroptosis, the doctor uses a physical examination, laboratory and instrumental examination methods. These include:

  • Ultrasound is a non-invasive technique that uses sound waves to create an image of the kidneys and their surrounding tissues. The method determines the position of organs and reveals nephroptosis.
  • Computed tomography (CT) - creates more detailed images of organs and tissues than conventional x-rays.
  • Magnetic resonance imaging (MRI) - uses magnetic fields and radio waves to view images of tissues and organs in greater detail.
  • Retrograde pyelography is a procedure in which a contrast agent is injected through the ureter into the urinary tract and then an x-ray is taken. This helps to see the anatomy of the urinary tract and identify abnormalities.
  • Blood and urine tests do not show that the kidneys are down. But they are carried out to determine the level of creatinine and other markers that indicate impaired function.
  • Physical examination - the doctor checks for symptoms of nephroptosis, such as pain in the lower back and when the abdomen is felt. Defines the boundaries of the kidneys in the supine and standing position.

Depending on symptoms and other factors, your doctor may recommend one or more tests.

The Urology Department of the K+31 clinic has the equipment necessary for diagnosing nephroptosis from world manufacturers of medical equipment. Highly qualified specialists help to decipher the results and determine the diagnosis. A correct diagnosis increases the chances of recovery.

Treatment

Treatment depends on the severity of the symptoms and the degree of kidney prolapse. In some cases, nephroptosis does not cause significant problems and does not require therapy. However, if there is pain, kidney function is impaired, or there are other problems, the following methods are used:

  • Observation - minor nephroptosis does not cause symptoms and does not require treatment, but monitoring is necessary.
  • Drug therapy - drugs are used to tone the ligaments, improve blood supply to the kidneys, reduce inflammation and pain.
  • Physical exercises - aimed at strengthening the abdominal muscles and the posterior abdominal wall, help keep the kidneys in their natural position.
  • Use of bandages - a special bandage helps to keep the kidneys in the correct position.
  • Surgery - Severe cases of nephroptosis that cannot be treated conservatively may require surgical treatment. One method is to suture the ligaments that hold the kidney up. In more severe cases, a kidney transplant may be required.

Treatment of nephroptosis should be selected on an individual basis and is determined depending on the severity of symptoms and the degree of kidney prolapse.

Urologists at the K+31 clinic use proven and approved technologies and drugs for therapy. Comply with international protocols and standards. Choose a treatment option based on the patient's health condition.

Why is it necessary to treat nephroptosis at the K+31 medical center in Moscow

The K+31 clinic is a modern medical center that provides high-quality medical care.

The advantages of treating nephroptosis here are:

  • Skilled specialists - urologists, anesthesiologists and surgeons have been working with problems of prolapsed kidneys for more than 14 years.
  • Modern diagnostic methods - ultrasound machines, MRI, CT, etc.
  • An integrated approach to therapy—specialist consultation, diagnosis, conservative treatment and, if necessary, surgery.
  • Individual approach to each patient - the therapy is selected that best suits the patient's health condition.
  • Comfortable conditions of stay - wards for short-term hospitalization and common areas.
  • The clinic complies with all standards prescribed by law, which ensures the high quality of medical care.

Urological problems negatively affect the quality of life and lead to restrictions in daily activities. Don't put off your health make an appointment to see a urologist today

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist