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What Does The Following Kidney Ultrasound Report Indicate?

Posted on Thu, 17 Aug 2017

Question: my son has a uvj obstruction on his right side. he is currently 18 months old. 6 months ago a renal scan showed 50-50 function. but yesterday the same scan showed his right kidney functioning at 30%. he has surgery on auhust 29 to remove obstruction. my question is once surgery is done will the function improve back to normal?

Answered by Dr. Ravi Bansal (24 hours later)

Brief Answer:
it can improve

Detailed Answer:

Hi,

The case is of Uretero vesical junction obstruction. It can lead to back pressure changes because of obstructive flow and lead to kidney damage.

So first thing is to prove if there is obstruction. this can be seen in ultrasound as hydroureteronephrosis and as obstructive flow on DTPA scan. if both test confirm obstruction then operation to releave obstruction should be done.

now if the size of this kidney has become smaller or if the patient had urine infections then the recovery of kidney funtion may be less. but if kidney sizes are good then it should show some recovery. how much recovery will occur can not be predicted and it may need a reassessment after 1 month.

The recovery should be judged by improvement in absolute kidey function on DTPA and not by percentage function.

Best wishes.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Ravi Bansal (1 hour later)

he has uretal reimplation surgery on 29th

does hydronophrois increase the likly hood of have problems when he gets older. is is only 18 months now. thanks

Answered by Dr. Ravi Bansal (2 hours later)

Brief Answer:
Hydronephrosis causes kidney failure in the long run

Detailed Answer:
Hydronephrosis means dilatation of the urine collecting system. It may be from reflux nephropathy or obstruction. If it is by obstruction and we do not do any operation treatment, then the kidney may fail slowly over years. Also, it increases risk of urine infections.

If the obstruction is removed now by operation then the kidney damage may stop further or may even reverse towards normal.

Hope this is clear now

Best wishes

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ravi Bansal (41 minutes later)

he had 50-50 function for his first year of life. then at his 18month appointment is right kidney was only functioning 30 percent. once surgery is done what would you expect funtion to return to based on your experience? thanks

Answered by Dr. Ravi Bansal (20 hours later)

Brief Answer:
May improve

Detailed Answer:
i already answered this question. it may not improve dependinding on thd exteng of damage. but more important is to furthur prevent damage which may occur if obstruction is not releaved.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ravi Bansal (59 minutes later)

one more question then ill leave you alone.
if funtion didnt improve would having 70-30 funtion affect him in any way? and does this condition increase the risk for any other problems when he is older? thanks

Answered by Dr. Ravi Bansal (1 hour later)

Brief Answer:
The kidney function will deteriorate

Detailed Answer:
hi,

if the kidney is obstructed and not treated. slowly the function will become almost zero in that kidney over years. also there will be risk of urine infections.

so better is to get recommended treatment.

best wishes.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ravi Bansal (24 minutes later)

his uretal reimplation surgery is schduled for august 29. how long foes it usually take for toddlers to recuperate after surgery?

Answered by Dr. Ravi Bansal (2 hours later)

Brief Answer:
Upto a week

Detailed Answer:
kindly discuss in detail with the treating doctor as it depends on a lot of other factor which only a treating surgeon can decide upon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ravi Bansal (23 hours later)

ok. how long will it take for the kidney and megaureter to decreasein size after surgery?

Answered by Dr. Ravi Bansal (13 hours later)

Brief Answer:
Can take upto one month

Detailed Answer:
megauretor may not decrease in size but whatever benefit will occur will occur in 1 month

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Kampana