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Dr. Andrew Rynne

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Suggest Treatment For Hydronephrosis With Dilated Renal Pelvis In An Infant

hi my name is suresh from kathmandu. my son is 3 months old. his weight is 6.5kg. recently i have done USG. the report shows that the size of R kidney is 6.2cm and L is 8.7cm. left kidney is grossly hydronephrotic with a thin cortical shell of 4mm. the renal pelvis is dilated. the upper ureter is not dilated, so what is the solution
Mon, 9 Nov 2015
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Urologist 's  Response
Hello Suresh and welcome to HCM.
As an Urologist, let me assure you,the left kidney is hydronephrotic.
The kidneys now need to be checked for individual function, by doing a diuretic isotope scan.
That will confirm the diagnosis,as well as,help in deciding further treatment.
If the kidneys show good function, it should be operated by 6 months age.
If the isotope scan shows poor function(You may send your doubts, as a direct question to me,for an expert opinion.
Dr.Matthew J. Mangat.
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Suggest Treatment For Hydronephrosis With Dilated Renal Pelvis In An Infant

Hello Suresh and welcome to HCM. As an Urologist, let me assure you,the left kidney is hydronephrotic. The kidneys now need to be checked for individual function, by doing a diuretic isotope scan. That will confirm the diagnosis,as well as,help in deciding further treatment. If the kidneys show good function, it should be operated by 6 months age. If the isotope scan shows poor function(You may send your doubts, as a direct question to me,for an expert opinion. Dr.Matthew J. Mangat.