Category Archives: Urological Issues

My question is out of desperation. My husband has suffered kidney issues since he was 12. And at the age of 35 and after many kidney surgeries and procedures had his left kidney removed. It was not draining correctly causing severe pain and after several attempts to repair it, the doctors decided removing it was the best option. Now he is having similar problems with his other kidney. After research of my own, I went to the local urologist here and told him I thought my husband had a floating kidney. He said he had never heard of that but thought it made sense. He did all the tests and said, yes, that his kidney was moving and that was what was causing the pain and why it was not draining. He said he would look into the surgery and put in a stent for the time being. When we went to the followup, we were treated much different. We were told that floating kidney was not real and they would not do the surgery and all they would do is put in stents. I guess my question is, how can a Doctor say something he can see with a test is not real and where do I go from here for treatment. There is a surgery out there that can fix this but instead my husband is forced to suffer and live a life in pain.

I have never heard of a floating kidney.  I understand that this term used to be used years ago to describe pain moving around in the back, but the kidney only moves up and down when you breathe.  Everyone’s kidneys … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Urological Issues

After a kidney stone removal operation, can the scar be a vertical line – running from the lower rib cage to the navel (belly button)? Can you please provide me with photo’s of – or refer me to where I can download photo’s of the scar(s) a patient could have after such a procedure ? Thank you very much for your time.

I am a nephrologist and not a surgeon.  A urologist performs kidney surgery and I have no expertise in surgery and do not know where different incisions may be made for different surgeries.  I suggest that you ask your urologist … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Urological Issues

I was working with a solvent tricholorethylene. Now I lost my right kidney and am waiting for chemo or radiation treatment. Which is less dangerous?

I am a nephrologist and have no expertise with kidney cancer.  I suggest that you consult with a urologist or an oncologist in order to know what to do with kidney cancer.  Kidney cancer is very difficult to treat unless … Continue reading

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

I have recently been told I have an issue with my kidney but they have done tests and cannot seem to know why the kidneys are decreasing in function. They do, however, see a small blockage on the right side causing some issues, but no answer as to why the left side is also decreasing. I have not been diagnosed with kidney disease and there are no additional veins blocking the ureter junction that may cause the current blockage. They ruled that out to as well as kidney stones so if its not congenital, not kidney disease, no other areas seem to have any other damage, including the spleen and pancreas. So my question is, what else could cause such a freak random thing to occur?

I am unable to make a specific diagnosis based on the information that you present.  The blockage on the right kidney is obviously an area to be examined.  I am a nephrologist and have no expertise in blockage of the … Continue reading

Posted in Ask the Doctor, Nephrologist, Symptoms and Side Effects, Urological Issues

Hi. I am female, 45 old from India. I have done RIRS in my left for 1cm and 5mm kidney stones on 9 may 2017. After they put stent on my left side. I have taken CT scan before stent removal. The CT scan report shows 4.2mm, 2mm, and 3mm stones on my left kidney. The stent removes on 5/6/2017. Now my question is my kidney function is normal? But now no blood in my urine. and urine color is normal. and amount also. Another question is Why is it painful?

I am unable to make a specific diagnosis based on the information that you provide.  The question that you ask is a urological question.  I am a nephrologist and I do not perform surgery.  I suggest that you discuss your … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

This week I was diagnosed with cancer in my kidney. Originally my urologist said the latest protocol is to try chemotherapy first and then take the kidney if necessary. Now he wants to take the kidney and decide if I need chemo on what he finds during the surgery. I am 75 years old if that is pertinent. What determines the order of chemo/surgery?

I am a nephrologist and do not have any expertise in the surgical or medical management of kidney cancer.  I suggest that you continue to consult with your urologist.  A urologist is a surgeon and has expertise with management of … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments, Urological Issues

I just turned 60. Past 4 months I have gained 60 lbs, no change in diet, do not even have appetite. I have lost control of my bladder almost totally past three weeks. My legs and my whole body feels nothing but fluid filled. Three months ago all labs perfect. I am freaked out, registered nurse for 30 years. Is this kidney started up or possible complications from failed spinal surgery in 2012? I am at lost, my doctor says “Lose weight”, gee whiz, great advice. Any ideas? Thanks. My mom is stage 3b right now. She refuses dialysis and she is 86. Any thoughts would be great.

I am unable to provide a specific diagnosis without performing a complete history and physical examination.  Your symptoms sound more like neurological disease than kidney disease.  

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urological Issues

I am in Stage 3 ckd. This has been the case for past 16 years. The medicines that I’m taking are Losartan 50mg and Omega-3 fish oil. Till 2 years ago, I was taking Losartan 25 mg and due to protein leak in urine this was increase to 50 mg. My query is regarding sperm count. Does this increase in Losartan cause a massive decrease in sperm count. i was having just over 20million as the count 2-3 years ago, recent check indicates the count is under 13 million and the ones having rapid progression is zero. This was not the case 2-3 years ago. I’ve been to UK for 2 years and has returned back to India. I used to have fish daily and now I’m having less of that. Other than these I don’t see any difference between now and that time. I was diagnosed with vericocele as well recently. Could you please let me know if the increase of losartan or change in climate or the diet could cause significant decrease in the count and cause vercocele?

The diagnosis of abnormal sperm count and varicocele are usually within the expertise of a urologist.  I am a nephrologist and have no way to comment about your current problems.  I have used Losartan for many years have not heard … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

I was recently diagnosed with Bosniak 2 complicated cysts with 2 simple cysts on left kidney. During ultrasound, left kidney size measured 7.9cm, right was 8.4. I’m 5’2″ weigh 130. My normal weight is 110 but gained 20lbs from steroids. I urinate often, never had uti, history of kidney stones, treated with lithotripsy. I am not a diabetic. Last creatinine was 1.1. My question, is the kidney size normal? IF not, what are some possible diagnoses? I do have an upcoming appt with urologist.

I am not an expert in kidney cysts.  This is usually the expertise of a urologist. I am a nephrologist.  The size of your kidneys should be in proportion to your body size.  I am unable to comment on your … Continue reading

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

I have been on multiple courses of antibiotics since January for prostatitis and or bacterial infections. My kidneys became inflamed on the third coarse of antibiotics. The did an indepth urinalysis and found that I still had bacterial. I don’t think my kidneys or my stomach can handle any more antibiotics. My primary care physician means well but if i take deep breaths I feel flank or kidney pain. A little hesitation when urinating but mostly mid to low back pain and bouts of foggy or confused brain with lots of fatigue. If you have any suggestions for me.

I am unable to make a specific diagnosis based on the information that you present.  You are describing a prostate infection and also kidney problems but I am unsure how those two problems are linked to your present symptoms.  The … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments, Urological Issues