Ultrasonographic Evaluation and Causes of Hydronephrosis Multi-Center Study Bashir Health Services, Aslam Medical Complex, Private Clinic

Abstract

Objectives: The primary aim of this study is to assess and classify hydro-nephrosis in adults using ultrasound imaging and seeks to determine the its main causes.

Methodology: A descriptive cross-sectional study design was utilized for this research. In this approach, existing medical records and ultrasound reports of adult patients previously diagnosed with hydronephrosis were reviewed to evaluate the frequency and etiology of hydronephrosis.

The study was conducted at the Department of Radiology, of three hospitals in Sialkot, Pakistan. The study was conducted over a 6-month period from 1st July 2024 to 31st December 2024. A nonprobability purposive sampling technique was used to select relevant patient records. A total of 83 patients met the inclusion criteria.

Result: Age group of 25-50 years showed 81.9% patients presented with hydronephrosis with 47 males and 36 females. Pain being the most common symptoms was (32%). Right sided hydronephrosis was seen most commonly. Hydro ureter status was seen in 55% of patients who never had a stone. Mild hydronephrosis was the most common sign.  Causes of hydronephrosis were ureteric and renal stones 29% and 23% respectively followed by pregnancy 12% and BPH 11%.

Conclusion: Overall, these findings reinforce the clinical utility of ultrasound in the prompt detection and management of hydronephrosis.