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During unilateral renal stenosis what happens to the other kidney?

User SIM
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Final answer:

In unilateral renal stenosis, the non-stenotic kidney undergoes compensatory hypertrophy and hyperfiltration to maintain renal function. Over time, the increased workload can potentially damage the healthy kidney if the condition is not treated. Management of the stenosis is crucial to protect both kidneys.

Step-by-step explanation:

Effects on the Opposite Kidney During Unilateral Renal Stenosis

During unilateral renal stenosis, the other kidney, which is not affected by the stenosis, typically undergoes compensatory hypertrophy and hyperfunction. This means that the healthy kidney will increase in size and its filtration capacity to compensate for the reduced function of the stenotic kidney. The kidneys have an incredible ability to adapt, and this adaptation is one way the body maintains homeostasis.

In cases where the stenosis leads to significant impairment of renal function in the affected kidney, the unaffected kidney might increase its filtration rate and urine production to offset the loss of function. This process is known as compensatory hyperfiltration. Over time, however, this compensatory mechanism can lead to increased stress on the healthy kidney, potentially resulting in damage or glomerulosclerosis if the underlying issue is not addressed. Therefore, while the non-stenotic kidney may temporarily manage to preserve overall renal function, the long-term outcome depends on the severity of the stenosis, the duration of the condition, and the effectiveness of any treatment provided.

Furthermore, if conditions such as kidney stones or other forms of urinary tract obstruction affect the non-stenotic kidney, additional complications may arise, leading to symptoms of renal colic or urinary tract infections. Therefore, careful management of unilateral renal stenosis is crucial to protect the function of both kidneys.

User Rick Rackow
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