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A mobile (wandering) kidney is a condition where the kidney leaves. A mobile kidney is the most common complaint of slim women aged 20-40. What are the causes and symptoms of a mobile kidney? What is the treatment?

A mobile kidney(akawandering , sloped or drooping) is a kidney that has fallen into the pelvis. In men, a kidney is considered to be a kidney that has dropped by more than 1.5 vertebrae, and in women by more than 2.0 vertebrae (more than 5 cm).

Normally the kidneys are respiratory movable, that is, when inhaling and exhaling, they move according to the movement of the chest. However, sometimes, due to the relaxation of the fatty tissue supporting the kidney, this organ leaves the organ. Then, the mobile kidney causes the ureters to bend, and thus - impeded outflow of urine from the kidneys. In this case, consider suspending the kidney to reduce its mobility.

Mobile (wandering) kidney - causes

  • multiple births
  • rapid weight loss
  • removal of a large tumor from the abdominal cavity
  • hard physical work while standing
  • anatomical defects - long renal vessels, congenital disorders of connective tissue development

Age, gender and body shape are also a risk factor. A mobile kidney is the most common problem for slim women aged 20-40.

Mobile (wandering) kidney - symptoms

In the vast majority of cases, a mobile kidney is asymptomatic and is diagnosed during an ultrasound performed for a different reason.

Sometimes they may appear:

  • pains related to the bending of the ureter and the occurrence of congestion in the kidney, which:

- are located in the epigastric region, lumbar and sacral area - stand up and during physical work - recede in the supine position - may be paroxysmal

  • hematuria
  • recurrent urinary tract infections
  • urolithiasis
  • hydronephrosis

Mobile (wandering) kidney - diagnostics

If a wandering kidney is suspected, the doctor examines the organ in a standing position (then the mobile kidney can be felt well and moved upwards) and lying down (then it is imperceptible). To confirmdiagnosis is performed by urography, i.e. an X-ray examination of the kidneys with the use of contrast. The doctor may also decide to perform kidney scintigraphy and isotope renography.

Mobile (wandering) kidney - treatment

Patients with a mobile kidney, which does not give any symptoms and does not lead to disorders of the urinary system, do not require treatment. Some people recommend bandaging the abdomen, wearing corsets or gaining weight, but such actions rarely work.

Only about 20 percent in patients with a removable kidney, there are indications for nephropexy. In over 90 percent operated, their symptoms disappear.

If a mobile kidney leads to recurrent pain attacks, hematuria, hydronephrosis, kidney inflammation or nephrolithiasis, surgical treatment is necessary to suspend the kidney (nephropexia). The kidney is attached high, part of the organ (about 2/3) is above the costal arch.

If the patient has been operated on, despite no medical indications, complications may occur. Unnecessary kidney surgery can lead to excessive scarring, adhesions, neuralgic pain, urinary stagnation, and even organ loss. That is why it is so important to properly qualify the patient for surgery.

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Category:

Urology and Nephrology