Hi, My daughter postnatally was picked up to have dilated kidneys (both) She had surgery on both of these at 6 months and then 12 months (JJ Stints) the right one has been successful with it now looking normal. The left one is now stretched and still shows signs of dilation. She is 7 years old the right one measures 9.46cm and the left is 11.24cm. She has recently had an MRI and this showed the right one draining ideally the left one did drain however it was slower. The consultant has advised that we will follow up in 6 months with another scan as the left one may just be bigger and it might just be the way it looks now. My question is, with your experience would you have expected the left one to stabilise by now? They gave her a medication to reduce the time of the scan however would this have adjusted the results? (It took an additional 5 minutes for the larger kidney to drain under the medication so does this mean without it, is the urine sitting then and not draining or it does drain just a lot slower? If so is this of concern) Any advice on the long term management to avoid future problems would be appreciated. We have all images available and notes if required.

The problem that you describe is a urological problem.  I am a nephrologist and have no surgical experience with childhood obstructive kidney disease.  This problem is best handled by a urologist and not a nephrologist.  I suggest that you continue to consult with a pediatric urologist.

 

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