
Knee bends
Causes of nephroptosis
Nephroptosis is often caused by a weakness of the ligaments and surrounding tissue that hold the kidneys in their position. Common causes include rapid weight loss, weakness of the abdominal muscles, frequent physical exertion or heavy lifting, and congenital connective tissue weakness.
Symptoms of nephroptosis
- Pain in the flank or lower back that worsens when standing upright
- Nausea and vomiting
- Urinary tract infections
- Blood in the urine (hematuria)
- Fatigue and general discomfort
Diagnosis of nephroptosis.
The diagnosis is made through a physical examination and imaging techniques such as ultrasound, intravenous pyelography (IVP), or computed tomography (CT). Urine and blood tests are conducted to detect signs of urinary tract infections or hematuria.
Treatment options for nephroptosis
- Conservative: In mild cases, bed rest, wearing a supportive corset, and avoiding heavy physical activities are recommended.
- Medication: Painkillers and antibiotics for treating infections may be prescribed.
- Surgical: In cases of severe symptoms or complications, a nephropexy (surgical fixation of the kidney) may be necessary to return the kidney to its normal position and fix it.
Preventive measures for nephroptosis
To prevent nephroptosis, sudden weight loss should be avoided and the abdominal muscles should be strengthened. Lifting heavy loads should be done with caution, and at the first signs of discomfort, a doctor should be consulted to allow for early diagnosis and treatment.
Common Patient Questions About Nephroptosis
Risk factors for a floating kidney (nephroptosis) include extreme underweight, rapid weight loss, weak connective tissue, and a genetic predisposition. Women are more often affected than men, and weak muscle tone can also increase the risk.
Yes, targeted exercises to strengthen the abdominal and back muscles can help stabilize the position of the kidney. Physiotherapy and exercises such as leg raises and core muscle building are often recommended to strengthen the core and reduce the strain on the kidneys.
An operation is only necessary in severe cases when the prolapsed kidney causes severe pain or dysfunction. In milder forms, conservative treatments such as physiotherapy and wearing a support corset may be sufficient.
In most cases, a dropped kidney does not significantly affect kidney function. However, in severe cases, it can impair urine flow, which may increase the risk of urinary tract infections and kidney stones.