Category Archives: Urological Issues

I have a horseshoe kidney with chronic stones. What is a good medicine to take for pain?

I am unable to recommend medical treatment without performing a complete history and physical examination. Pain from chronic stones in the kidney are best treated by consulting with a urologist and see if there is some way to remove or … Continue reading

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

My daughter who is 1 years old, is having reflux issues. We had a recent renal scan and it shows the left kidney works 14 percent and the right works 86 percent. What does this mean? Doctors recommended a surgery. Will a surgery help improve the left kidney function? Thanks.

The question that you ask is a urological question and must be asked of a urologist. I am a nephrologist and have no surgical experience. You should be consulting with a urologist and, if possible, a pediatric urologist.

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

Small hyperechoic lesion measuring 2.2 x 2.9 cms noted in cortex with minimum peripheral vascularity in right kidney.

I am unable to make a specific diagnosis based on the information that you present.  I suggest that you consult with your physician about interpretation of the findings that you present.  I suspect this is an ultrasound finding and needs … Continue reading

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

Can a 10 cm complex cyst 2f on the Bosniak scale cause the gfr to be lower? Thanks.

A complex cyst should not change kidney function, but needs to be observed and monitored. This is a urological problem and you will need to consult with a urologist about follow up and treatment. I am a nephrologist and do … Continue reading

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

Hello I have yearly scans on my kidneys and liver as part of my on going care as I had ocular melanoma 5 years ago and now I have two cysts on my kidneys. One has calcified and started growing, I had a CT scan on Tuesday and saw the urologist on Friday he says there’s no cancer but couldn’t say it wouldn’t be in 20 years. Here is what he wrote to my doc: left kidney is 2.8cm parapelvic cystic lesion, with calcification within the posterior wall and shows a pronounced contrast filling in the delayed phase. Within the middle third of the right kidney there is a poorly defined 1.4 cm moderately enhancing cortical cystic lesion which shows a moderate intralesional enhancement around 12 hu. He wants to see me in 6 months for another scan, and said if it grows by 1 CM over the year he will have to look at removing the right kidney. I also had a reaction to the contrast swelling to my face and rash on both arms and all over face. I am female and 40 years old. Any help deciphering the above would put me at ease.

I am a nephrologist and I have no expertise in urology. The problem that you pose is a surgical and urological problem. I have no surgical expertise. I suggest that you continue to consult with your urologist.

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

Sir, I was suffering from right renal calculus measuring 12 mm (1.2 cm) from May 2016 onwards. A CT scan showed that the stone was struck near illac junction in the ureter leaving slight gap for urine to pass. Hence, I did not have much pain except for mild discomfort due to moderate hyderonephrosis. My treating urologist had advised me for a Laser Uretroscophy. However, few of my friends suggested for a Homeopathic treatment, which I had taken for about 9 months with intervening USG scans which showed the symptoms and renal stone still intact at illac crossover. During January 2017 (exactly after 9 months) finally I had passed the stone naturally which was fragmented into 3 pieces. I was very happy and thought I had successfully passed off the kidney stone without any surgery. To my dismay within few weeks, even though I had passed the stone, I started feeling mild discomfort and pain on the right side. The treating Urologist had expressed his displeasure for my poor and wrong decision to holding the renal stone for such a long time and not opting for the removal through surgery. However, the USG showed mild hydronephrosis and hydrouretor, which was mentioned in report as residual fullness of kidney after passing of stone. The doctor told me that within 2-3 months this will subside and nothing to worry. However, during June 2017-December 2017 I had one USG and a CT scan to ascertain reason for the mild discomfort and pain in the ureter and flank. The doctors say that there is still kidney fullness which may subside slowly. But, I am frequently having right flank pain and discomfort in the kidney and a feeling of some internal injury/abscess in the ureter near the illac crossover. I assume that the renal stone may have formed at the place where it was located for many months i.e illac crossover. My assumption is after seeing the stone I had passed, it appeared in a long tubular form having a feature of formation in the ureter. This may be because I used to hold my bladder full and don’t urinate frequently. These are all my assumption only. Can any one really help me resolve this issue? Why is still the fullness /swelling of kidney there even after one year of passing the stone? Is there any possibility of blockage of fat stranding/blood clot or any obstruction at the place where the renal stone was earlier struck and could not be identified in USG and CT Scans? Whether I have to go for IVP test to identify the internal structure and position of ureter? Please advise. Thanking you.

The problem that you identify is a urological problem. I am a nephrologist and I have no surgical expertise. A urologist is a surgeon and deals with stone disease, hydronephrosis, and blockage of the ureter. I have no expertise in … Continue reading

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

Hello. My son had been diagnosed by an ultrasound to have an atrophic right kidney with a large 6cm lesion on his adrenal gland also. How urgent is this diagnosis? We can’t even speak to our doctor and it’s been nearly 2 weeks since we found this out. Should we admit him. Thank you.

The problem that you present is a urological problem.  I am a nephrologist and do not perform surgery.  This problem needs to be addressed by a urologist, who is a surgeon and can address the question that you ask. I … Continue reading

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

I am a 61 year old male with an ileostomy since age 18. I am generally in good health except for chronic kidney stones (4 lithotripsies for ca oxalate stones). I am not diabetic and take Atenolol, Simvastatin and Ranitidine. Also potassium citrate/citric acid for stone prevention. My Scr has jumped from 1.0 to 1.4 in the last couple of years. BUN has been normal or slightly high (22), anion gap and all other electrolytes normal. I am alarmed by this but my PCP and Urologist don’t seem that concerned. Would a 24 hour urine give a more accurate GFR? Should I see a nephrologist?

It is hard to estimate kidney function on the basis of a single serum creatinine. It may be necessary to retest your kidney function with a second test.  In some cases, patients with prior bowel surgery can develop recurrent kidney … Continue reading

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

I have kidney disease and my gfr is around 27 and I have just been diagnosed with a renal cancer mass that is around 5cm. What choice would be best for me? I am also obese. If I choose to do nothing, what would happen? Thank you.

The problem that you pose is very complex. In this case, you would have to consult with both a nephrologist and a urologist for a discussion of the risks and benefits of kidney surgery. Kidney surgery could cause your kidney … Continue reading

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

My son aged 7 yrs 1month. He is having urethral problem in left kidney. It works only at 8 percent. The urologist advised to do a laparoscopic simple nephrectomy. His right kidney is compensating for the way two kidneys work. Is there any sense of urgency? If surgery is done, would my son have any future complications?

The question that you ask is a urological question. I am a nephrologist and I have no surgical expertise. You need to ask these questions of the urologist who is seeing your son.

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