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Suffering from bilateral renal pelvis and under observation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I am a 30 yr old female and have recently had both urinary and kidney infections. My u/s results show that I have mild prominent bilateral renal pelvis. My doctor wants to monitor this every 3 to 6 months to ensure that this does not progress into anything more. But I want to know more, what causes them to enlarge? Will they ever reduce back to normal size? What can happen if the urinary and kidney infections continue?
Doctor :   Hi
Doctor :   let me read your query
Doctor :   ok
Doctor :   any urinary infection , can result in scarring of the urinary tract and this scarring can result in obstruction of the urinary tract
User :   Hi - can you please assist with my concern as stated above?
Doctor :   such obstructions include strictures in the urethra or the ureter
Doctor :   this sort of obstruction , blocks the flow of urine in the urinary tract
Doctor :   and the back flow and pressure , results in the dilation of the renal pelvis as seen in the ultrasound
Doctor :   this condition if not treated and the underlying conditions like stricture or vesicoureteral reflux is not corrected for a long time, this results in progressive loss of renal function
Doctor :   but if taken care off, and treated early, the condition does not progress and the kidney function stabilises and becomes normal
Doctor :   in case the renal and kidney infections continue, there will be progressive loss of renal function, resulting in Chronic renal disease and ultimately end stage renal disease
Doctor :   ESRD may require dialysis at regular intervals or a renal transplantation
Doctor :   I hope you have understood my comments so far
User :   Yes, now I know why my Doctor wants to smack me. I let it go 2 months before I saw her regarding my frequent need to pee.
Doctor :   since your doctor has found the dilated renal pelvis, i guess she wants to monitor your condition and make sure that it is not progressing
Doctor :   and so that she can take appropriate measures to prevent progression by treating any condition that might be causing it in the first place
User :   So bilateral means in both kidneys? causing more concern than it would just in one or the other?
Doctor :   yes bilateral means involvemrnt of both sides
Doctor :   yes if both sides are involved , it can progress more quickly
User :   Is there anything I can do physically to help reduce this from progressing?
Doctor :   if not already done, a cystoscopy or a urine flow studies can be done, to check if there is any block in the urinary tract
Doctor :   if such a block is there, that needs to be corrected
Doctor :   since both sides of the kidney are involved, it seems that , the level of block may be in the urinary bladder or the urethra
User :   On my u/s Doctor says my bladder is in good order. She has not mentioned a cystoscopy.
Doctor :   has she mentioned the grade of dilation and the severity
User :   Only "mild prominent".
Doctor :   in that case, just observation will be sufficient
Doctor :   thanks for consulting me here
Doctor :   bye for now
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