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Urology (Expert Forum)
Hydronephrosis
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Hydronephrosis
by psingh27, Jul 31, 2006 12:00AM
My son is 18 months old. In last 3 months, he had Urine infection 3-4 times. He underwent VCUG, Renal Ultrasound and MAG-3 Lasix washout renal scan.
Renal Ultrasound shows the right kidney to measure 7.4 cm and left kidney
6.03 cm in length. The left kidney showed significant hydrouretronephrosis and the diameter of the ureter measured at 1.7 cm in the flank. The left kidney has moderate amount of renal cortex measuring almost upto 1 cm in thickness.
The VCUG didn't show any ureteric reflux.
The MAG-3 Lasix renal scan shows 15% function from left kidney and 85% function from right kidney.
The Pediatric Urologist has recommended removal of left kidney. Is there a way to save left kidney and improve its functioning ?
Renal Ultrasound shows the right kidney to measure 7.4 cm and left kidney
6.03 cm in length. The left kidney showed significant hydrouretronephrosis and the diameter of the ureter measured at 1.7 cm in the flank. The left kidney has moderate amount of renal cortex measuring almost upto 1 cm in thickness.
The VCUG didn't show any ureteric reflux.
The MAG-3 Lasix renal scan shows 15% function from left kidney and 85% function from right kidney.
The Pediatric Urologist has recommended removal of left kidney. Is there a way to save left kidney and improve its functioning ?
Doctor's Answer
by Kevin Pho, MD, Jul 31, 2006 12:00AM
, Jul 31, 2006 12:00AM
I am not a urologist, so my insight into this question is limited.
Causes of hydronephrosis is caused by of obstruction. In patients with a positve renal scan as well as symptoms, surgical correction is normally recommended. Casues of hydronephrosis that is not corrected may lead to permanent kidney damage.
Before undergoing surgery, it may be wise to obtain another urological opinion - preferably at a major academic medical center.
This option can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Causes of hydronephrosis is caused by of obstruction. In patients with a positve renal scan as well as symptoms, surgical correction is normally recommended. Casues of hydronephrosis that is not corrected may lead to permanent kidney damage.
Before undergoing surgery, it may be wise to obtain another urological opinion - preferably at a major academic medical center.
This option can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments
by peduriologisthelpedus, Sep 03, 2006 12:00AM
To: Pediatric Urology
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