Category Archives: Urological Issues

My husband has just been told that the valve on the ureter tube leading to his kidney does not work properly which causes urine to back up which has led to some damage to the kidney. Is this treatable or what are options for dealing with this diagnosis?

The problem that you describe is known as “reflux nephropathy” or “vesicoureteral reflux”. This is a urological problem and should be directed to a urologist, who is a surgeon. I am a nephrologist and have no surgical expertise. I suggest … Continue reading

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

Hi. I’ve been having a lot pain in both kidneys and I have stones in both. My left kidney is also significantly smaller than my right one which has hydronephrosis but the doctors won’t do anything to help unless they see it as life threatening or an emergency. What can I do? I’ve had referrals made to doctors but have yet to hear anything even after calling and I’m in so much pain. I’m at my wits end. Any advice would be extremely appreciated. I have every symptom except for the fever and blood in urine. Thank you

The problem that you describe is a urological problem having to do with recurrent kidney stones and back pain. I am a nephrologist and have no surgical expertise. A nephrologist tries to figure out why someone has recurrent kidney stones … Continue reading

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

I have kidney stones during pregnancy (only when pregnant) in which require stents repeatedly through out pregnancy until lithotripsy can be done. I have had a total of 12 stents and 4 lithotripsy all on the same side, can this have caused permanent damage and pain? My urologist says no but I have frequent pain in the same area. Just wondering if there is anything else I should be aware of or if this is a side effect from circumstance. Thank you.

I am a nephrologist and I do not have any surgical expertise. The question that you ask is appropriately addressed to a urologist  A urologist is a surgeon. I suggest that you continue to consult with your urologist.

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

Good Afternoon Doctor: Apparently I have a small kidney stone(s) hanging out in my right side ureter tube (between my kidney and bladder) The last ultrasound also showed a small stone in my right kidney. I am in NO pain and I am not bleeding. In fact, I never felt the stone pass from my kidney to the tube. I also have hydronephrosis (sp) in the right kidney (no pain), Urinalysis shows no cancer cells. The doctor I am seeing is recommending surgery to insert a camera through my bladder to the tube to remove the stone and place a stynt there. Since I am in no pain this option does not appeal to me. I have been drinking lots of water and cranberry juice. I urinate often but not at night (presumably because I am laying down) Do you have any advice or recommendations other than surgery?

The question that you ask is a urological question. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and has expertise in kidney stone disease and blockage of the kidney.  I suggest that you seek … Continue reading

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

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 … Continue reading

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

My 2 Year old Nephew has some problem in his left kidney. Please suggest on what kind of medication or operation can help for this. Mentioning the result of the latest diagnosis done: Left Kidney: appears bulky. It shows normal in size, shape and outline. It shows slightly faint contrast opacification and s/o persistent dense nephrogram in delayed image. Pelvicalyceal system is overfilled with clubbing of calyces. Left renal pelvis is dilated. Left Ureter is not well seen even on delayed scans. Delayed films after lasix IV injection shows washout of contrast post lasix 15 minutes image. IMPRESSION: Hydronephrosis Left Kidney with Dilated Pelvis With Persistent Dense Nephrogram with Washout of Contrast After Lasix S/O PUJ Obstruction(Partial) Normal Right Kidney and Urinary Bladder.

The problem that you describe is a urological problem. This should be evaluated by a urologist and preferably a pediatric urologist. I am a nephrologist and have no expertise in the evaluation and treatment of ureteropelvic junction obstruction (UPJ obstruction). … Continue reading

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

My father got operated in Dec 2015 for large left URS uretric calculus of 16mm by laser lithotripsy method. Now again he has 10 mm mobile stone is in left kidney and having urine infection problem with pus cells from the last 2 years. Present Creatinine is 1.8 and we also done NCCT and Renal DTPA Scan. Left kidney -16% GFR 5.7ml and Right Kidney 84%, GFR 29.8ml. And also had done Urine Culture, it shows E coli 100000 cfu/ml. Urologist Doctor advise us for laparoscopic left simple nephrotomy. Please advice.

I am a nephrologist and not a urologist. I have no surgical expertise. I am unable to provide surgical opinions. I suggest you consult with your father’s urologist or primary care physician (PCP).

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

Hi. I have two questions. I was diagnosed with UPJ, with terrible kidney pain. The doctor said it went away, but I am still in the same amount of pain. Does UPJ go away and if it does why do I have so much of the same pain? Second question. My right kidney (painful side) is 9.6cm and the left kidney 11cm. Is this normal to have this size difference?

The problem that you describe is a urological problem. I am a nephrologist and do not perform surgery and do not have any urological expertise. I suggest that you consult with a urologist regarding your concerns.

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

Post operative ultrasound results read 9mm stone at mid pole cortex. I cannot find information on stones that large in the cortex. Can you direct me to information about developing such sized stones in the cortex? Does “at” the mid pole cortex mean the same as “within” the mid pole cortex?

The problem that you describe is a urological problem. Stones in the cortex are generally of no consequence, but I am a nephrologist and have no surgical or urological expertise. I suggest you consult with a urologist.

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

Sir, I am 23 years old. I have mild Hydronephrosis disease on both kidneys. Is it a critical illness or minor illness and what should I do for treatment?

Hydronephrosis of the kidney means there is a possibility of blockage of the kidney. A urologist is best suited to evaluate this blockage and see if further testing or treatment is needed. I suggest that you consult with a urologist. … Continue reading

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