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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pelvicalyceal System Of Child Dilated, Not Having Any Problem In Urination. Need To Worry?

Dear, sir my son is now 3month old. while i was pregnant at my 23 weeks 6days it was detected that the pelvicalyceal system of my son was dialated it was 6.5mm . after birth and upto this he is not having any problem in urination . but is bit worried about it . I had disscused this with his peditrision he had refer me to child urology specialist. so i want to know wheather its the matter to worry about . plz suggest?
Tue, 8 Jan 2013
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Pediatrician 's  Response
Hi
As your child was having dilated pelvicalyceal system on antinatal scans, after birth also abdomen and pelvis scan is required to assess the dilated calicyes and their progression at present.
The site of the obstruction causing the dilatation can be assessed.
In most of children PUJ obstruction is more common and it can be treated by stenting the narrowed part. The function of the kidney can be known by performing the nuclear scan.
Because these children with dilated pelvicaliceal system are prone for recurrent urinary tract infections and decreased kidney function if not corrected.
Consult your child urologist and after evaluation of his urinary tract system, proper intervention can be done if required and nothing to worry.
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Pelvicalyceal System Of Child Dilated, Not Having Any Problem In Urination. Need To Worry?

Hi As your child was having dilated pelvicalyceal system on antinatal scans, after birth also abdomen and pelvis scan is required to assess the dilated calicyes and their progression at present. The site of the obstruction causing the dilatation can be assessed. In most of children PUJ obstruction is more common and it can be treated by stenting the narrowed part. The function of the kidney can be known by performing the nuclear scan. Because these children with dilated pelvicaliceal system are prone for recurrent urinary tract infections and decreased kidney function if not corrected. Consult your child urologist and after evaluation of his urinary tract system, proper intervention can be done if required and nothing to worry.