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What Does This Following Lab Report Indicate?

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Posted on Fri, 14 Oct 2016
Question: One of my friends father has some kidney problem. We are unable to understand his current situation and how his health be in future
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Answered by Dr. Suresh Radhakrishnan (4 hours later)
Brief Answer:
It is unlikely to be affected in the future

Detailed Answer:
Hi

Thank you contacting healthcaremagic.

I understand your concern.

From my understanding based on the reports provided, the patient has had bleeding from urinary passage and investigations showed thickening of bladder wall which has multiple causes one of which is a bladder tumour.

Hence his urologist has done a cystoscopy and some abnormal areas in bladder were cut out. At that time the abnormal areas were close to the opening of both the tubes from kidney to bladder(ureteric orifice). As we use heat to cut the growth in bladder, this sometimes causes swelling of the opening of tubes in bladder and closes it causing the kidneys to get blocked and not produce any urine. This causes temporary kidney failure.

To improve the kidney function your urologist and radiologist placed stents and nephrostomies(tubes in either or both kidneys) and once the kidney function has returned to normal and the swelling of the opening of tubes from kidney to bladder has subsided, the stents were removed.

If the current kidney function (creatinine values in blood test) is normal, then there is nothing to worry about and he is very unlikely to get any problems in future.

The growth that has been cut from the bladder has been proven not to be cancer which is reassuring and PET CT is also normal which again proves that it is not cancer of bladder. Hence please reassure him.

Hope that answers your query.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Suresh Radhakrishnan

Urologist

Practicing since :1994

Answered : 299 Questions

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What Does This Following Lab Report Indicate?

Brief Answer: It is unlikely to be affected in the future Detailed Answer: Hi Thank you contacting healthcaremagic. I understand your concern. From my understanding based on the reports provided, the patient has had bleeding from urinary passage and investigations showed thickening of bladder wall which has multiple causes one of which is a bladder tumour. Hence his urologist has done a cystoscopy and some abnormal areas in bladder were cut out. At that time the abnormal areas were close to the opening of both the tubes from kidney to bladder(ureteric orifice). As we use heat to cut the growth in bladder, this sometimes causes swelling of the opening of tubes in bladder and closes it causing the kidneys to get blocked and not produce any urine. This causes temporary kidney failure. To improve the kidney function your urologist and radiologist placed stents and nephrostomies(tubes in either or both kidneys) and once the kidney function has returned to normal and the swelling of the opening of tubes from kidney to bladder has subsided, the stents were removed. If the current kidney function (creatinine values in blood test) is normal, then there is nothing to worry about and he is very unlikely to get any problems in future. The growth that has been cut from the bladder has been proven not to be cancer which is reassuring and PET CT is also normal which again proves that it is not cancer of bladder. Hence please reassure him. Hope that answers your query.