Can children with ureteral stenosis and hydronephrosis recover after surgery?

Most children with ureteral stenosis and hydronephrosis can recover after surgery, but the severity of the disease, postoperative care and recovery need to be considered to ensure a good recovery effect. The key to postoperative treatment is standardized follow-up, scientific care and prevention of complications.

1) Factors affecting postoperative recovery

The surgical treatment of hydronephrosis caused by ureteral stenosis in children mainly includes ureteroplasty or resection and anastomosis of the stricture segment. These techniques can usually effectively relieve symptoms and promote the recovery of kidney function. The success rate of surgery is relatively high, but the specific recovery depends on the following factors:

- Severity of condition: If ureteral stenosis does not result in severe renal impairment, a full recovery is more likely after surgery; on the contrary, if a large amount of renal function has been affected, long-term observation and adjuvant therapy may be required.

-Age and physical condition: Children who are younger and have stronger recovery abilities usually recover more easily, but children with lower immunity may take longer to recover.

- Timeliness of surgery: Early surgery can relieve renal damage more quickly, while missing the golden treatment period may affect the recovery effect.

2) Principles of postoperative care

Scientific postoperative management and care are the guarantee of recovery. Parents need to pay special attention to the following points:

-Regular follow-up: Ultrasound or CT scans are required regularly after surgery to observe the disappearance of hydronephrosis and the patency of the urinary tract.

-Infection prevention: Urinary tract infection is prone to occur after surgery. The child's urinary system should be kept clean. If necessary, antibiotics recommended by the doctor, such as amoxicillin or cephalosporins, should be taken to prevent infection.

-Dietary adjustment: After surgery, it is recommended to eat a light diet rich in vitamins and dietary fiber, increase the amount of fruits and vegetables such as apples and tomatoes, and drink more water to increase urine discharge and avoid calcium salt precipitation to form stones.

3) Pay attention to possible complications after surgery

Although the success rate of surgery is high, parents still need to be alert to postoperative complications, such as urinary tract restenosis, urine leakage or continued water accumulation. If the child is found to still have low back pain, decreased urine volume or hematuria after surgery, he should seek medical attention for further treatment. Based on the symptoms, the doctor may take another surgery, place a drainage tube or take medication as appropriate.

Most children can achieve a normal quality of life after surgery and scientific postoperative management. Postoperative care is crucial. Parents need to pay close attention to the physical performance of their children, conduct follow-up examinations on time and strictly follow the doctor's instructions. If any abnormality is found, they should contact the attending physician as soon as possible to ensure a smooth recovery.