Dear Doc. Sir, Good evening. My daughter is 3 and 1/2 yrs old has left kidney sufficiently small which has been witnessed from USG. As per doctor’s suggestion (the doc. Is a pediatric nephrologist), we perform the following tests: (i) Urine C/S, (ii) S. Creatinine, (iii) MCU, (iv) DTPA, (v) DMSA. Reports of the Tests are as follows: (i) there is no infection in urine, (ii) creatinine is normal, (iii) there is no vesico-uretic reflux, and (iv) the interpretation of the last two tests are (a) left kindley is hypoplastic, non functional and the right kidney is normal in size and shape and fully functional. While consulting with our doctor with the reports, he said that the LK was damaged due to some (probable) infection in urine some times back (not as per report, it is his view). While I asked him “will the RK be affected due to the problem in the LK”, he replied in negative. I again asked, “whether the LK should be removed for safe survival of the right kidney”, he again replied in negative. That is, his view is, “Though LK is damaged, there will be no problem in safe survival of the child in her life. Just, we should check for any urinary infection”. After that we went to a kidney specialist (nephrologist, not pediatric nephrologist) for getting his opinion. His opinion was something different from the previous one. He said “the LK has not been damaged due to any reason, rather it is small since before birth. So there is no need to worry, she can live her normal life”. Now sir, my query to you is that whether the LK is small and non functional due to any reason after birth (as per the pediatric nephrologist) or it is so by birth (as per the second doctor, the nephrologist).

The question that you ask is a urological question. I am a nephrologist and I do not perform surgery. A Urologist is a surgeon and has expertise in kidney surgery. I also do not see children. I suggest that you consult with a urologist and preferably a pediatric urologist for an opinion.

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