KIDNEY DISEASE & DISORDERS COMMUNITY
UPJ obstruction in infant

UPJ obstruction in infant

Dear All,

My child, 19 months old, is diagnosed having hydronephrosis.
Chronology: The 1st time found during prenancy 6 mth by USG screening but it's considered mild & expected to be able to improve by himself. When he was born on August, 2006, our dr saw no problem at that time.He then developed fever on Dec 17, up  to 39C. Our dr was suspected caused by UTI, proved by Lab test that the number of E.Coli bacteria was 10^5. He was fine after taking antibiotic (Madlexin). Then we when through another USS on Dec 23 and the result is mild bilateral hydronephosis, grade 1&2. He has been 4 times checked by USS. First time at 4months of age which left kidney showed hydronephrosis 11.7mm, at 7 months 9.5mm, at 1 year 9.3mm, at 15 months 9.8 mm, at 19 month 12mm. The right kidney was improving, at 4 months, it showed hydronephrosis 9.2mm, at 7 mth 5mm, at 1 yr 2.3mm, our USS dr said it is normal now. MCU has been done at 5 mths of age showed no VU reflux bilateral, no posterior uretheral valve. MAG 3 has been carried out 3 month ago and showed UPJ obstuction on the left kidney. Based on Mag-3 scan result, the dr  recommends the baby to go to UPJ blockage surgery (Pyeloplasty). For the moment, the baby is taking antibiotic, amoxicillin.to prevent any infection.

We are really not keen to let the baby go for surgery and we would like to seek advice/opinion
whether there is any other option we can pursue.

Many Thanks before.
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HI,
This sounds similar to what I have been through.  I am now an adult but I was born with Kidney Reflux and spent almost the first 5 years of my life on antibiotics to prevent infections, at around 5 Ihave major surgery to have my uretas re-implantedThe surgery is much more advanced today than in the 70's) I have had so many infections I should buy shares int he antibiotic company, anyway to cut a long story short.  I have had my Kidneys monitored regularly all my life, I was found to have a blockage to my left tkidney at 17, I had surgery to clear it, in my surgery a section of my urethra was blocked and damaged, a section of my bladder wall was cut and a tube made and attached, my left kidney is fine functions normally but has some slight damage, last ultrasound showed that this area was slightly distended, my right kidney is slightly smaller than my left. my only problem now is that I am very suseptble to a UTI,  also have high blood pressure (which is controlled) as well.  I healed fine  from my surgery.  I can only imagine the worry my mother went through with all the tests, xrays etc, I have had a camera in my blasser you name it.  if this is untreated more damage can occur, if unsure seek a second opinion.  I have had a relatively normal life, I am aware of my suseptibility to UTI and have regular medical checks, I have scans every few years now. I wish you luck
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