Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Hydronephrosis, Renal Cyst, Enlarged Prostate. Elevated Creatinine And Protienuria. Further Treatment?
Hi! my father is 70 years old. He just had an executive check up his ultrasound shows: Hydronephrosis and nephrolithiasis right. Presence of obstructing right ureterolithiasis.Diffuse renal parenchymal disease bilateral.Left nephrolithiasis.Left renal cyst and enlarged prostate. The findings indicate obstructive uropathy secondary to urolithiasis.To consider gouty nephropathy. Severe hematuria.elevated creatinine and protienuria. WBC 11.5/L RBC 15-20 HPF proein ++++ creatinine 145 BUN 7.19mmol/L BUA 571.67 mmol/L. Right Kidney 16.53x9.55cm with markedly dilated pylvocalyxes with cortical thinning.There in increased echogenecity of the visualized parenchyma. Multiple echogenic structures with posterior acoustic shadowing are seen ranging from 0.3 cm-1.73cm in diamete. proximal ureter dilated. Left kideny is within normal size 10.2x5.12 with increased parynchymal echogenecity.Multiple echogenic structures with posterior acoustic shadowing are seen ranging from 0.3-0.8cm in diameter. pelvocalyces anre not dilated.with multiple varsized cyst the largest measures about 1-59cmx1.61x1.66 the rest vary from 0.4 cm-1.07 cm in diameter. prostate measures about 4.30x4.23x3.88 cm and weighs approximately 37 grams. with this result at hand what could probably be his best option. ESWL? surgery?Thankyou for helping. Thankyou for saving lives.
Wed, 25 Sep 2013
thanks for writing in,
the ultrasound picture you have given is suggestive of renal cysts and renal stone along with hydronephrosis.the size of stone are not large and can easily fall with hydrotherapy,but due to presence of cysts eswl is barely an option can consider surgery contact urologist for further help as prostate require management first as above problems are due to back pressure caused by prostatomegaly.
hope this will solve your query.
dr.akhilesh chamediya
the ultrasound picture you have given is suggestive of renal cysts and renal stone along with hydronephrosis.the size of stone are not large and can easily fall with hydrotherapy,but due to presence of cysts eswl is barely an option can consider surgery contact urologist for further help as prostate require management first as above problems are due to back pressure caused by prostatomegaly.
hope this will solve your query.
dr.akhilesh chamediya
I find this answer helpful
1 user finds this helpful
1 Doctor agrees with this answer
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Hydronephrosis
Loading Online Doctors....