Nutrition Health Chat: Tuesday, Dec. 8th, 5-6 PM Eastern. Learn how vitamins, minerals, and phytonutrients affect your health. Free live Q&A. Join us!
Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urology (Expert Forum)
kidney obstruction
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.
kidney obstruction
by mike__0__0, Jan 07, 1999 12:00AM
Our son born 8-24- 98 was diagnosed with mild hydronephrosis in utero.
since then, reflux has been ruled out, but the lasix renogram showed
moderate obstruction of the right and mild of the left kidney. the obstruction
appeared at the kidney ureter junction. percentage was 38% right and 62% left.
recommendations were moniter every three months with lasix renogram and operate
if recurring infection or kidney damage becomes evident. I have read information from
another ped urologist that early surgery was recommended that would return any lost
kidney function and take the compensatory pressure off the left kidney. this
seem contradictory. I would appreciate any suggestions. Also he incidentally was born with
very mild hypospadia and chordee.
thank you for you time and informaiton
===========================================================================
Dear Mike
Thanks for your questions.
Bilateral hydronephrosis secondary to bilateral UPJ obstruction is rare. The verdict is still out with regards to early/ late operation verse observation for UPJ obstructions. Dr. King et al ,in 1984, recommend early surgery. Dr. Ransley et al , 1990, recommend surgery if function in one of the renal units is less than 40% and Drs. Koff and Campbell, 1992 recommend observation only.. Multiple genitourinary abnormalities are more common when at least one is present.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: hydronephrosis, ureteropelvic junction obstruction, surgical treatment for ureteropelvic junction obstruction
