Certain kidney diseases such as kidney stones, hydronephrosis, and urinary tract infections do not require renal puncture to confirm the diagnosis; certain kidney diseases such as IgA nephropathy and membranous nephropathy require renal puncture to confirm the diagnosis.
Kidney disease is a big category, not all kidney diseases need kidney puncture to confirm the diagnosis, such as kidney stone, hydronephrosis, urinary tract infection, etc..
Kidney diseases include glomerulonephritis, nephrotic syndrome, diabetic nephropathy, lupus nephritis, polycystic kidneys, kidney stones, hydronephrosis, urinary tract infections, etc. Not all diseases require kidney puncture to confirm the diagnosis, such as kidney stones, hydronephrosis and urinary tract infections. Kidney stones and hydronephrosis need ultrasonography to assist in diagnosis; urinary tract infections need urine culture and other assistance in diagnosis.
Besides, there are diagnosis of kidney diseases with symptoms, such as acute and chronic glomerulonephritis with proteinuria, hematuria, edema and hypertension, etc.; and there are also diagnosis of pathological types, such as IgA nephropathy, membranous nephropathy and focal segmental glomerulosclerosis. Pathologic findings are generally the highest diagnostic basis.
Patients with nephropathy should go to the hospital in time for consultation, clarification of the cause and timely treatment under the guidance of specialized physicians.