Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is Loss Of Corticomedullary Differentiation Mentioned In An Ultrasound Scan Something That Is Non-recoverable?
Question: Dear i have a kid 10 years and his ultrasound report was as follows :
U/S - URINARY TRACT: Findings: " Both kidneys increased in size measuring 11.5 x 6.5 cm with cortical thickness of 1.2 cm with loss of corticomedullary differentiation. Evidence of moderate-to-severe hydronephrotic changes. " Both ureters are seen significant dilated tortuous however, both ureters could represent changes of reflux. Voiding cystourethrogram is advised as the patient diagnosed "eagle XXXXXXX syndrome". " Urinary bladder dilated /enlarged with prevoid 1300 ml and post void 320 ml.
Is this early stage of renal failure? After the surgery for fixing the reflux / obstruction, kidney could be recovered to be normal? or effects on kidney parenchyma couldn't be retrieved?
" loss of corticomedullary differentiation " this is non-recoverable?
What is the treatment and next steps?
U/S - URINARY TRACT: Findings: " Both kidneys increased in size measuring 11.5 x 6.5 cm with cortical thickness of 1.2 cm with loss of corticomedullary differentiation. Evidence of moderate-to-severe hydronephrotic changes. " Both ureters are seen significant dilated tortuous however, both ureters could represent changes of reflux. Voiding cystourethrogram is advised as the patient diagnosed "eagle XXXXXXX syndrome". " Urinary bladder dilated /enlarged with prevoid 1300 ml and post void 320 ml.
Is this early stage of renal failure? After the surgery for fixing the reflux / obstruction, kidney could be recovered to be normal? or effects on kidney parenchyma couldn't be retrieved?
" loss of corticomedullary differentiation " this is non-recoverable?
What is the treatment and next steps?
Brief Answer:
Need GFR to determine function.
Detailed Answer:
Hi,
I am sorry to hear that your child is afflicted with prune belly syndrome. This syndrome as you may already know includes urinary system abnormalities that affects your child.
The reflux of the urine to the kidneys should be addressed as soon as possible and the reason for the reflux should be identified and corrected.
Kidney function could be salvaged/saved as long as corrected early. At this point In time I still wouldnt call it kidney failure.
Loss of corticomedullary differentiation means the kidney looks white on ultrasound and is because of swelling of the kidneys.
GFR is a better test to determine kidney function.
I suggest to see a pediatric urologist as Soon as possible.
Regards
Need GFR to determine function.
Detailed Answer:
Hi,
I am sorry to hear that your child is afflicted with prune belly syndrome. This syndrome as you may already know includes urinary system abnormalities that affects your child.
The reflux of the urine to the kidneys should be addressed as soon as possible and the reason for the reflux should be identified and corrected.
Kidney function could be salvaged/saved as long as corrected early. At this point In time I still wouldnt call it kidney failure.
Loss of corticomedullary differentiation means the kidney looks white on ultrasound and is because of swelling of the kidneys.
GFR is a better test to determine kidney function.
I suggest to see a pediatric urologist as Soon as possible.
Regards
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
