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Sonography Shows Narrowing Of PU Junction, Hydronephrosis, Reduction In Renal Parenchymal Thickness. Recommendations?
Right Kidney identified with a) abrupt narrowing of PU Junction, partial obstruction,b) mild hydronephrosys, c).reduction in renal parenchymal thickness. No symptoms. Kidney function tests are normal. Came up during sonography done during annual checkup. There are differing opinions of various doctors. I have been recommended surgery to remove obstruction. Another Doctor feels that this is a rare condition named congenital megacalyces. Even after surgery, there wont be any improvement in hydronephrosys/ kidney function. The CT Scan and Renogram xrays are uploaded herewith
Mon, 5 Aug 2013
Hi,Although I am not able to access CT & Renogram films,however what you have is a condition called 'PUJ OBSTRUCTION',which is due to deficient muscle s
From the information available it is clear that the affected kidney is quite compromised in its function.Other kidney is free from disease ,therefore overall function is preserved.I would advise you to have DTPA Scan done ,which will be able to give split function of each kidney.
In a condition like this surgical intervention has a success rate of 80-90% is invariably attempted/advised depending on various investigation parameters as & in many patients there is prevention of further loss of kidney function.
The decision for surgery in your case should be undertaken based on the findings of these tests I have outlined.Meanwhile take all the precautions to avoid nephrotoxic drugs & prevention of UTI
Best of luck
From the information available it is clear that the affected kidney is quite compromised in its function.Other kidney is free from disease ,therefore overall function is preserved.I would advise you to have DTPA Scan done ,which will be able to give split function of each kidney.
In a condition like this surgical intervention has a success rate of 80-90% is invariably attempted/advised depending on various investigation parameters as & in many patients there is prevention of further loss of kidney function.
The decision for surgery in your case should be undertaken based on the findings of these tests I have outlined.Meanwhile take all the precautions to avoid nephrotoxic drugs & prevention of UTI
Best of luck
I find this answer helpful
Hi,
Thanks for writing in.
I am unable to view your X ray and CT scan as desired by you.
Any ways a PUJ obstruction if causing reduction in renal parenchymal thickness (which was not present earlier) is a matter of concern. You must get your blood urea and serum creatine levels checked. I would recommend a nuclear scan or both kidneys to assess kidney function. The first step in your situation would be to remove obstruction. Whether there is improvement in hydronephrosis or not comes later. A stent can may be put in place to facilitate passage of urine from affected kidney to ureter through narrowing.
Hope this helps.
Thanks for writing in.
I am unable to view your X ray and CT scan as desired by you.
Any ways a PUJ obstruction if causing reduction in renal parenchymal thickness (which was not present earlier) is a matter of concern. You must get your blood urea and serum creatine levels checked. I would recommend a nuclear scan or both kidneys to assess kidney function. The first step in your situation would be to remove obstruction. Whether there is improvement in hydronephrosis or not comes later. A stent can may be put in place to facilitate passage of urine from affected kidney to ureter through narrowing.
Hope this helps.
I find this answer helpful
1 user finds this helpful
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