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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Tests To Confirm Hydronephrosis In Kidney

Hi, i am 30f, incidentally identified with mild hydronephrosys of right kidney during routine medical check up. My doctor has advised me to go for IVP n then for DTPA scan. There are deference of opinion by various doctors. Some has adviced me to go for pyeloplasty. Other doctors says that it is rare case of congenital mega calyces. My IVP and DTPA scanning images are uploaded herewith. Please advise.
Thu, 21 May 2020
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General Surgeon,  's  Response
Hello,

As per my clinical experience, there are various clinical outcomes and management guidelines depending upon the level, extent of distal urinary passage involved, associated co-morbid conditions as diabetes, hypertension or others. There are various evaluations available for hydronephrosis of the kidney, which are:
- Ultrasound of the both kidneys, ureter, urinary bladder
- Prostate size and post void residual volume
- Intravenous peylography
- High resolution CT scan
- Blood tests with serum creatinine, blood urea nitrogen
- Urine microscopy with culture body

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Tests To Confirm Hydronephrosis In Kidney

Hello, As per my clinical experience, there are various clinical outcomes and management guidelines depending upon the level, extent of distal urinary passage involved, associated co-morbid conditions as diabetes, hypertension or others. There are various evaluations available for hydronephrosis of the kidney, which are: - Ultrasound of the both kidneys, ureter, urinary bladder - Prostate size and post void residual volume - Intravenous peylography - High resolution CT scan - Blood tests with serum creatinine, blood urea nitrogen - Urine microscopy with culture body Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon