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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Right Renal Hydronephrosis And Left Renal Pelviectasia Mean?

Ultra Sound Report on 27-10-2011 The liver is of normal size and shape with smooth contour and normal homogenous Echo texture – The course and caliber of the common and intra hepatic biliary ducts are normal – The gall bladder is adequately distended with normal wall thickness and no evidence of calculus or sludge – Average size right kidney measuring (5.3x2.6 cm) showing dilatation of the pelvicalyceal system with renal pelvis diameter (9mm). No stones – Normal size \T\ configuration of left kidney (5.1x2.3 cm) with good cortical thickness mildly dilated left renal pelvis (5mm) without stones. – The spleen has normal sonographic configuration – No ascites or abdominal collections – The pancreas was normal Conclusion – Right renal hydronephrosis.o – Left renal pelviectasia I am worrying more what i should follow - Please any body can help
Sat, 19 Sep 2020
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General & Family Physician 's  Response
Hi,

You should see a nephrologist asap if this results is “only” from a GP. Hydronephrosis, in your case unilateral (only on one side) is a swelling of the kidney. Different conditions can cause that. So, naturally treatment for hydronephrosis depends on the underlying cause. Sometime surgery is necessary, but most often the condition resolves on its own. If it’s only a low grade hydronephrosis, the nephrologist may decide to take a wait-and-see approach. However, he may recommend preventive antibiotic therapy or other medications to lower the risk of urinary tract infections.

Cases of severe hydronephrosis make it hard for the kidney to function properly. Surgery may be recommended because severe hydronephrosis can lead to permanent kidney damage or even kidney failure. But since hydronephrosis typically affects only one kidney, like in your case, you don’t need to panic. Even with one kidney you can get 100 years old. So, please stop being anxious, see a local nephrologist asap and all will be fine soon. Don’t wait!

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

Regards,
Dr. Alexander Davis, General & Family Physician
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What Does Right Renal Hydronephrosis And Left Renal Pelviectasia Mean?

Hi, You should see a nephrologist asap if this results is “only” from a GP. Hydronephrosis, in your case unilateral (only on one side) is a swelling of the kidney. Different conditions can cause that. So, naturally treatment for hydronephrosis depends on the underlying cause. Sometime surgery is necessary, but most often the condition resolves on its own. If it’s only a low grade hydronephrosis, the nephrologist may decide to take a wait-and-see approach. However, he may recommend preventive antibiotic therapy or other medications to lower the risk of urinary tract infections. Cases of severe hydronephrosis make it hard for the kidney to function properly. Surgery may be recommended because severe hydronephrosis can lead to permanent kidney damage or even kidney failure. But since hydronephrosis typically affects only one kidney, like in your case, you don’t need to panic. Even with one kidney you can get 100 years old. So, please stop being anxious, see a local nephrologist asap and all will be fine soon. Don’t wait! Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Alexander Davis, General & Family Physician