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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Duplex Right Kidney With 2 Ureters. One Is Dilated Causing Recurrent UTI. Advised Ureterostomy.

My 8 week old daughter has a duplex rt kidney with 2 ureters. One is dilated and drains poorly leading to recurrent uti. She recently required drainage of pus from the kidney and currently has a nephrostomy tube in situ. A VUCG and a renal scan showed reduced function in the upper pole of the rt kidney but no reflux. We have been advised that she have a temporary ureterostomy for 12 months then surgery. We are concerned that an opening draining into her diaper will lead to an increased risk of infection. We will be talking to the surgeon in a few days but want to gather as much info as possible first. Thanks for your advice.
Mon, 10 Jun 2013
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General Surgeon 's  Response
HI,I AM DR.TIWARI.FROM THE INFORMATION YOU HAVE SUBMITTED IT IS CLEAR THAT YOUR DAUGHTER IS HAVING A DUPLEX RT. KIDNEY WITH PYONEPHROSIS.FOR THAT NEPHROSTOMY HAS BEEN DONE.NOW DOING URETEROSTOMY WILL SERVE NO PURPOSE.IN MY OPINION CONTINUE WITH NEPHROSTOMY TILL FUNCTION OF RT UPPER POLE OF KIDNEY IMPROVES.THEN GO AHEAD WITH DEFINITIVE SURGERY.GOD THING IS THAT VCUG SHOWS NO REFLUX.MAY GOD BLESS YOUR DAUGHTER.
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Child Has Duplex Right Kidney With 2 Ureters. One Is Dilated Causing Recurrent UTI. Advised Ureterostomy.

HI,I AM DR.TIWARI.FROM THE INFORMATION YOU HAVE SUBMITTED IT IS CLEAR THAT YOUR DAUGHTER IS HAVING A DUPLEX RT. KIDNEY WITH PYONEPHROSIS.FOR THAT NEPHROSTOMY HAS BEEN DONE.NOW DOING URETEROSTOMY WILL SERVE NO PURPOSE.IN MY OPINION CONTINUE WITH NEPHROSTOMY TILL FUNCTION OF RT UPPER POLE OF KIDNEY IMPROVES.THEN GO AHEAD WITH DEFINITIVE SURGERY.GOD THING IS THAT VCUG SHOWS NO REFLUX.MAY GOD BLESS YOUR DAUGHTER.