Causes of development and methods of treatment of bilateral nephroptosis, right / left kidney

Causes of development and methods of treatment of bilateral nephroptosis, right / left kidney

Symptoms, causes of nephroptosis. Treatment

Nephroptosis (dropping of the kidney) is a pathological condition when the kidney is displaced relative to its normal location by more than two vertebrae down. This means that during inhalation and exhalation, the kidney can "migrate" to a distance of up to 6-7 cm. After lowering, the kidney can return to its original position, but it can also remain in a pathological state.

Causes of nephroptosis

Treatment of nephroptosis begins with clarification of the cause of the development of this pathological condition. These can be:

  • significant weight loss in a short period of time;
  • injury of the lumbar region, which is accompanied by the formation of a hematoma;
  • infectious kidney diseases;
  • physical work that involves lifting heavy things.

More often, this pathology is diagnosed in women, so it is necessary to know not only the rules of treatment of nephroptosis of the kidney, but also what threat this pathology poses to health.

Symptoms of nephroptosis

Weak signs of nephroptosis lead to late diagnosis and complicated treatment. The only symptom that the patient can pay attention to is pain with an attack-like character. Signs of nephroptosis on the right, the treatment of which is particularly difficult, can be perceived as manifestations of cholecystitis or acute/chronic appendicitis. At the initial stage of the disease, the symptoms are hardly disturbing, and periodic pains in the lumbar region and lower abdomen are not paid attention to at all - they can always be attributed to overwork.

When kidney prolapse of the 2nd degree develops, the pain syndrome becomes more and more intense, a person may even lose working capacity, which leads to depression and loss of appetite. Then there is retention of urine in the kidney, and the result is a significant increase in blood pressure.

How dangerous is kidney prolapse

If nephroptosis progresses and the kidney descends lower and lower, serious complications may develop. Why is nephroptosis dangerous:

  • pyelonephritis or hydronephrosis may rapidly develop;
  • structural changes occur in kidney tissues;
  • pregnancy and complications related to kidney failure can end in miscarriage;
  • the patient is diagnosed with arterial hypertension, in particularly severe cases a stroke may occur;
  • the patient completely loses his ability to work, becomes disabled.

The combination of kidney failure and pregnancy is especially dangerous - even if there is no miscarriage in the early stages of pregnancy, the normal development of the fetus will still be disturbed. A woman must be constantly under the supervision of doctors, there are high chances of developing severe toxicosis in the third trimester of pregnancy, which threatens urgent delivery and even death.

How to treat a prolapsed kidney

Nephroptosis is poorly treated by conservative methods, the most effective treatment method is laparoscopic nephropexy. In general, patients can be given the following recommendations:

  1. The patient should exclude any physical activity.
  2. Be sure to reduce the load on the kidneys. Dietary correction is meant - limiting the amount of salt and meat in the menu, prescribing a special "renal" diet is allowed. Even with bilateral nephroptosis of the 1st degree (in this case, it will also be diagnosed), similar measures will help to restore the normal location of the kidneys.
  3. Doctors prescribe wearing a special lumbar bandage, which is designed to fix the kidneys. Nephroptosis of the 1st-2nd-3rd degree can be corrected with the help of such a bandage, and in some cases completely cured. The bandage is put on in the supine position and strictly on exhalation.
  4. If the patient is underweight, he will need to follow a special diet. Treatment of kidney failure will be much faster if a fatty layer appears around the kidneys.

An important aspect is physical therapy, which will help to get rid of, for example, nephroptosis in children. A specially developed set of exercises will not only allow you to "fix" the kidney in a normal state, but also prevent a relapse. You can find out how to treat kidney prolapse with therapeutic methods on the pages of our website: https://dobrobut.com/.

Surgical treatment

Treatment of prolapse of the right kidney (as well as the left) can be carried out by conservative methods only if the kidney has shifted relative to its normal position no lower than 4 vertebrae. Next, doctors prescribe surgical intervention, the indications for which are a persistent increase in blood pressure, severe pain, and irreversible kidney dysfunction.

How to treat nephroptosis of the right kidney should be decided by a specialist. Surgical intervention is fraught with various complications - the work should be performed by an experienced surgeon who knows the specifics of such operations. If the patient is diagnosed with bilateral nephroptosis of the 2nd degree, treatment begins first of all - there are too many important organs located next to the lowered kidney, which can be affected if the underlying pathology is not treated. Prolapse of the right kidney poses a particular danger for women - in some cases, the pathology can lead to disruption of the reproductive system.

Treatment of nephroptosis at home

Many patients believe that banal prolapse of the kidney can be cured at home. Indeed, surgery for nephroptosis is not performed in all cases, and doctors often recommend drinking herbal decoctions in courses. But such treatment is possible only after consultation with a specialist. Uncontrolled use of traditional medicine is especially dangerous for right-sided nephroptosis of the 1st degree, the treatment of which must be carried out in a medical institution.

Nephroptosis (dropping of the kidneys) is a dangerous condition that, in the absence of treatment, can lead to the development of serious diseases and deprive a person of working capacity.

Related services:
Urologist consultation
Urological Check-up

Updated: 03.04.2025
2.9К views
Doctors who advise on this issue:
30experience (y.)
Smoliak-Smietkina Svitlana Pavlivna
Smoliak-Smietkina Svitlana Pavlivna
Pediatrician; Pediatric gastroenterologist

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