Category Archives: Urological Issues

I have had a urinary tract infection for most of the last 1 1/2 years. I have been doctoring with a urologist and he has given me various antibiotics but it keeps coming back very often which is most of the time. He says the only reason he can think of for the infection is that I have an almost two mm kidney stone. His next step is to crush the stone and remove it by going up through the urethra with a laser. Is it possible that the kidney stone is the cause of the infection? Are there any other possible causes? Are there any other cures? My family doctor suggests that I follow the urologist’s advice. Thank you for your help.

The problem that you pose is a urological problem. I am a nephrologist and do not perform any surgery. I suggest that you follow your family physician’s advice.  A urologist is a surgeon and performs procedures related to lower urinary … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Dear Sir, My 3 year old son suffered from hydronephrosis. Date of Birth 25 Jan 2015. KIdney [RT 49*25mm LT 62*29mm]. He has suffered in a month 2-3 times.

I am an adult nephrologist and do not see children. I suggest that you consult with a pediatric urologist. A urologist deals with hydronephrosis in children.

Posted in Ask the Doctor, Kidney-Related Health Questions, Pediatric Issues, Urological Issues

If I have 7-8 cm. cyst of kidney – which is the next action doctor?

The next decision is to determine if this is a simple cyst or a complex cyst. The radiologist who read the study should be able to tell whether this is a complex cyst or a simple cyst. In some cases, … Continue reading

Posted in Ask the Doctor, Kidney Cysts, Kidney-Related Health Questions, Urological Issues

I am female & 29 years old. I have a small calculi measuring 1.2 cm in lower pole of left kidny. And a cyst 1.6 cms at the mid pole of right kidney. Please advice me if these can be remove with the help if medicine or it needs to be operated?

The problem that you describe is a urological problem and must be addressed to a urologist.  I am a nephrologist and do not perform surgery.  You should consult with a urologist about the problems that you describe.

Posted in Ask the Doctor, Kidney-Related Health Questions, Urological Issues

Hello Doctor, my son is suffering from Left Kidney Inflation since he isn’t born yet, so a doctor instructed us to follow up with abdomen and pelvis ultrasonography. On the 10th of October 2017 my son was 9 months old Left kidney was enlarged measuring 6.8 CM. (the doctor at this time asked us to make Isotopic Renal Scan). We felt that this doctor isn’t clever enough so we left him and visited another doctor who instructed us to keep following up with abdomen and pelvis ultrasonography for a period of 6 months. So on the 20 July 2018 my son was 1 Year & 6 Months old. The report showed the following ballooned left renal pelvis 30mm in maximum dimension, associated with mild calyceal dilatation and a 3.5mm left lower calyceal stone detected, average caliber of the left ureter suggestive of left PUJ obstruction for clinical correlation, other wise both kidneys are of normal sit, size & shape. So in 18 August my son was 1 Year & 8 months we made isotopic renal scan. You can find it’s report attached. Because I couldn’t outline from it what is important and what isn’t for my son’s case. Now my questions, 1- is my child still suffering from inflation of left kidney or no? if yes it can be treated by medicine or MUST be surgery ? 2- what is the calyceal stone, and is it harmful for my son? is there a treatment by medicine OR it MUST be done by surgery ? 3- The doctor whom we follow up with is saying that my son must undergo surgical operation to widen ureter, Is that true that my son should do this ? NOTE: I performed ultrasonography for my son, since 2 days, and the report showed that there is NOT more enlargement in his left kidney, also the calyceal stone was NOT found this time. But still the doctor says that he MUST undergo the Surgical Operation to Widen the Ureter, is that true? does my son really need to undergo this surgical operation? My son is not feeling a pain from anything. We didn’t observe that he is crying for no reason, so I don’t think that his case is that serious to undergo surgical operation. No medications the doctor just want him to perform surgical operation to widen ureter. I can send to you all the reports but I found no way to attach files. Nothing is more precious than the son.

The question that you ask is a urological question. I am a nephrologist and I have no surgical expertise. A urologist is a surgeon and deals with these issues. I am not able to offer an opinion in this situation … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urological Issues

I have a friend that was born with 1 kidney. They have a problem with bedwetting and is a middle aged adult. They just don’t wake up at all and don’t know when it happens till later. They asked me to see if I could find an OTC medicine that they could take to help. They do drink beer every evening. Can you please tell me what they could take that will help, please? Thank you.

Bedwetting in an adult is usually a concern for someone has been born with an abnormal urinary tract or bladder. I would suggest that this person be evaluated by a urologist. I am a nephrologist and I have no expertise … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urological Issues

I was recently diagnosed with Stage 2 CKD and mild hydronephrosis of the right kidney, my only kidney. Urologist can’t see me for 30 days. I was rather surprised at the delay. I have no symptoms except poor labs. Creatinine is 1.10, eGFR 56, BUN/CREATININE RAIO 11.

The normal estimated glomerular filtration rate (eGFR) for a single kidney is usually between 45 and 60 milliliters per minute per 1.73 meters squared.  Hence, for a single kidney, your eGFR appears to be normal.  The hydronephrosis must be evaluated … Continue reading

Posted in Ask the Doctor, GFR, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrectomy / One kidney, Urological Issues

Hi. I am female. 30 yrears old. I have left kidney stone 1.2cm in lower pole and I have a 5 mm cyst on right kidney. Please tell me if a surgey is required or it can remove with the help of medicine. Waiting for your attention. Thank you.

The problem that you pose is a urological problem and requires a surgical opinion. I am a nephrologist and I do not perform any surgery.  You will need to pose this question to a urologist, who is a surgeon.

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urological Issues

Hi Dr. Spry! I had a stent placement recently due to ureter constriction. Duration is 3 months. Is it OK to resume my yoga class?

Stent placements are performed by a urologist. I am a nephrologist and do not perform stent placements. I suggest that you discuss this with your urologist.

Posted in Ask the Doctor, Exercise, Kidney-Related Health Questions, Urological Issues

Sir, I have pain at lower back side. So ultrasound scan was done and I have a small (3mm) left renal calculi and bilateral mild hydronephrosis. Now doctor prescribed some medicines for left renal calculi. Kindly tell me if one side stone causes to bilateral hydronephrosis? Is hydronephrosis cured by medicines? I’m a poor woman so I cannot spend much money. Please suggest me.

The problem that you pose is a urological problem. I am a nephrologist and I do not have any surgical expertise. Kidney stones in one kidney should not cause blockage (hydronephrosis) on both kidneys. I suggest that you consult with … Continue reading

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrologist, Urological Issues