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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Drop Of Blood Comes Out After Urinating. Ultrasound Shows Mild Dilatation Of Pelvocalyceal System In Right Kidney. Meaning ?

i am 27 weeks pregnant, and had a history of UTI during my first trimester, and now, the problem i have is when after i urinate,a drop of blood comes next. I thought i was having some vaginal bleeding , but when my OB doctor checked on me, the blood was not from my cervix . I did KUB ultrasound and they found out that i am having a mild dilatation of pelvocalyceal system in my right kidney. but not demonstrable stone was seen. There is also a fullness of the right ureter . they found out also that there is urinary bladder sediments. and urinary retention of 21%. what does this means. thank you!
Mon, 18 Feb 2013
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Pathologist and Microbiologist,  's  Response
hi there, blood in urine indicates injury or infection any where along the urinary tract starting from the kidney to the urethra. As your pelvicalycial system is dilated along with right ureter fullness it indicates obstruction at the level of ureter most probably due to stone or stricture.Some amount of urinary retention is acceptable in the 2nd trimester as the uterus is pressing on the bladder and hinders in complete evacuation. The dilatation of the ureter and the pelvicalyx should be taken care of . As you are 27 weeks pregnant, you may take the advise of a urologist whether it can be taken care of now or you need to wait. Usually 2nd trimester is a good time for any surgical intervention if requried but at your stage the attending urologist will be the best judge along with your obstretician. Take care.
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Pregnant, Drop Of Blood Comes Out After Urinating. Ultrasound Shows Mild Dilatation Of Pelvocalyceal System In Right Kidney. Meaning ?

hi there, blood in urine indicates injury or infection any where along the urinary tract starting from the kidney to the urethra. As your pelvicalycial system is dilated along with right ureter fullness it indicates obstruction at the level of ureter most probably due to stone or stricture.Some amount of urinary retention is acceptable in the 2nd trimester as the uterus is pressing on the bladder and hinders in complete evacuation. The dilatation of the ureter and the pelvicalyx should be taken care of . As you are 27 weeks pregnant, you may take the advise of a urologist whether it can be taken care of now or you need to wait. Usually 2nd trimester is a good time for any surgical intervention if requried but at your stage the attending urologist will be the best judge along with your obstretician. Take care.