Last updated:10-20-2008
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Kidney basin is the first part of they leave the urinary tract, as head newly formed urine from the kidney to the bladder and is in close relation to the kidney. Chronic renal pelvis represents a state with recurring or chronic infection in the kidney basin with lasting damage to the kidney to follow (as opposed to acute renal pelvis). The reduced kidney function developed usually over many years and may be one-way or two-sided.

Causes of chronic renal pelvis

Renal Pelvis inflammation caused by infection with bacteria, which are almost always horizontally from the skin around the urethral opening up through the bladder and urinary heads to the kidneys. This almost never happens in normal circumstances, because the urine washes the bacteria out. Therefore when the infection is usually no longer than the bladder, where it offers blærebetændelse.

The basis for chronic renal pelvis is almost always a mistake in the urinary tract, which causes the urine can run the wrong way from the bladder up to the kidneys. Other reasons may be frequent kidney stones or drainage obstacle due to narrowing of the urinary tract.

Symptoms of chronic renal pelvis

Each infection is often symptom solve, but may prove as repeated attacks of acute renal pelvis, especially in children. Gradually develop symptoms of chronic renal failure, see this.

Precautions and diagnosis

Do we have the symptoms of renal pelvis, one should consult a doctor. Have we had before acute renal pelvis, or recurrent cystitis, skin should be thoroughly investigated by a specialist, to clarify the cause. Signs of renal failure requiring immediate hospitalization in specialized in renal medicine (nefrologisk department).

The diagnosis of chronic renal pelvis made by urine and blood tests and imaging studies (ultrasound, X-ray and / or CAT scan) of the kidneys and urinary tract and possibly supplemented with a kikkertundersøgelse bladder (cystoskopi).

Treatment of chronic renal pelvis

The individual infections treated with antibiotics, but not if there are symptoms, since it risks, the bacteria become resistant to the funds and therefore can not be dealt with if there are acute, serious infection. In some cases it may be necessary to treat with antibiotics for many months.

You can reduce damage to the kidneys through the boot treatment as early as possible. For example. may be errors in the urinary tract in some cases be remedied by an operation, and also can be removed or shatter kidney stones.
Since renal impairment is often accompanied by high blood pressure, can the medical treatment of blood pressure better prognosis. In special cases, it may be necessary to remove the diseased kidney, which improves the state.

Detect the disease early, it is not clear whether treatment is necessary, before the kidneys are threatened. It can then be content with ample fluid intake and a diet low in protein and antibiotics courier by acute infection, as mentioned. Regular checks of renal function is necessary.

Select and complications

With these treatments can counteract the risk of developing kidney failure treatment, but it can not be completely lifted. Ultimately the growing end-stage renal failure requiring dialysis or kidney transplant to survive.


This article is formed on the Health Guide on 03.08.06


Related articles:

Acute renal pelvis (pyelonephritis / Pyelitis)
Blærebetændelse (cystitis)
Chronic renal pelvis (pyelonephritis chronica)
External damage to the kidneys and urinary leaders
External damage to the urinary bladder or urethra
Urinrørsbetændelse (Uretritis)



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