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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Mild Hydronephrosis And Collapsed Ureter

my son is 16years old and he had grade 1 reflux at the age of 1 year six months old, he was treated with medication with septran 1.25ml for a year and after that he did not have any problem even after frequent check ups, Now we did abdominal scan of the kidney and ureter and found that his left kidney is mild hydronephrosis and his left ureter has collapsed. How can it be rectified is it a major problem has I heard that his kidneys may damage if left untreated.
Fri, 21 Aug 2015
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Urologist 's  Response
Hello
Thanks for query.

Normally grade one reflux gets resolved within a year or two.One has to take prophylactic antibiotic for 1-2 years of age .

The hydronephrosis that has been reported on scanning may be due to reflux that he has and takes time to get resolved .The absence of hydro ureter is a good sign and indicates resolution of reflux.

You can get his DMSA scan done to confirm the status of kidney function .

He does not need any active treatment except doing his routine urine tests every 2 months to rule out any UTI.

Dr.Patil.
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Suggest Treatment For Mild Hydronephrosis And Collapsed Ureter

Hello Thanks for query. Normally grade one reflux gets resolved within a year or two.One has to take prophylactic antibiotic for 1-2 years of age . The hydronephrosis that has been reported on scanning may be due to reflux that he has and takes time to get resolved .The absence of hydro ureter is a good sign and indicates resolution of reflux. You can get his DMSA scan done to confirm the status of kidney function . He does not need any active treatment except doing his routine urine tests every 2 months to rule out any UTI. Dr.Patil.