Nephroptosis of the 2nd degree

In total there are 3 stages of omission or wandering of the kidney. With vertical displacement of the organ relative to the spinal column to a level exceeding the size of the bodies of 2 vertebrae, a diagnosis of nephroptosis of the 2nd degree is made. As a rule, this pathology is revealed even when collecting data for anamnesis, based on complaints and observations of the patient himself.

Symptoms of nephroptosis of the 2nd degree

The disease is characterized by very specific signs:

• periodic dull pains in the lumbar region that radiate into the sacrum, the lower abdomen;
• increased body temperature;
• the appearance of a small amount of blood in the urine, especially in the morning;
• pain syndrome in the affected kidney, increasing in the standing position to acute attacks;
• the disappearance of unpleasant sensations after a person lies down.

When examining the urine of a patient with grade 2 nephroptosis, erythrocytes and protein are found in the liquid, and its transparency is impaired.

Also, during palpation, the kidney is easily felt outside the borders of the hypochondrium, both in inspiration and exhalation, but can be easily and painlessly fixed. Additional diagnostic measures assume an overview X-ray of the entire urinary system, excretory urography, ultrasound of the affected organ.

Treatment of kidney nephroptosis of 2nd degree

Usually conservative therapy with moderate omission is not effective, because the progression of nephroptosis inevitably leads to such possible complications:

• pyelonephritis;
• violation of uro- and hemodynamics;
• chronic pain syndrome;
• arterial hypertension;
• nephrolithiasis;
• hydronephrosis .

In such situations, it is recommended that the kidney return to its normal position by fixing it in the anatomical bed with the help of surgical intervention - nephropexy. The operation is more often performed by minimally invasive techniques with percutaneous, retroperitoneoscopic or laparoscopic access, but sometimes a traditional open incision (lumbotomic) is required.

Forecasts after surgery are very inspiring - about 96% of patients confirm the positive results of the operation. In this case, the probability of recurrence of pathology is practically excluded, and the rehabilitation period is not difficult.

There are contraindications to performing surgical intervention with grade 2 nephroptosis:

• heavy intercurrent background;
• elderly patient;
• splanhoptosis.