Category Archives: Urological Issues

I have an extarenal pelvis. I had a mag 3 renogram which showed that there was no blockage but also a split kidney function of 62 to 38 per cent. Is this a normal result where there is one normal kidney and one with an extra renal pelvis, or does it indicate something else is going on? My GP said I had a lazy kidney, but I don’t understand what this means and if it can be made un-lazy. Could there be a connection between the lazy kidney or extrarenal pelvis and the mild pericardial effusion that I also have?

An extrarenal pelvis should be no consequence for kidney function.  If one kidney is smaller than the other, then there can be a difference in the perfusion scan.  I suggest that you consult with your physician for further clarification. It … Continue reading

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

Dear Sir, My question is that I have a stone in my kidney. The stone is seen through CT scan but it is not seen in ultrasound. Doctor suggested lithotripsy. I want to ask can lithotripsy shock damage my kidney or is it safe for kidney stone, or any other way to break kidney stone naturally. Kindly guide me. I am fearing for lithotripsy operation due to its side effect.

I am a nephrologist and do not perform lithotripsy.  This is a problem to be discussed with a urologist.  You should discuss the risks and the benefits of the lithotripsy with your urologist. To learn more about Lithotripsy click here:

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

My father is a CKD patient for last 10 years. His current biochemical profile is urea-202 creatinine-9.6 sodium-128 potassium-4.5. He is on antihypertensive drugs and passes 2 liters of urine/day. Intake is restricted to 1 liter. No respiratory distress, lack of appetite, drowsiness, or vomiting. Is it time to initiate dialysis?

I am unable to make a recommendation for dialysis without performing a complete history and physical examination.  The decision should be made by a nephrologist who can consult with and examine your father.

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

My 12 year old daughter has recently been diagnosed with TMD & and is a sickle cell trait carrier. She has had gross hematuria with frank blood for 6 weeks now, she has undergone a CT scan, ultrasound, Cystoscope by her pediatric Urologist, Kidney Biopsy & a Doppler ultrasound. Her left kidney seems to be the one causing the hematuria with this being the second episode of this which is what prompted the extensive testing and biopsy. Have you any information or can you guide me in the right direction so I can ensure I am researching factual information? As stated this is a new diagnosis and I want to ensure that I am doing everything I can do as a parent to accurately educate my self and my daughter on what this all means in twelve year old terms.

I am not familiar with the acronym “TMD”.  This is not a medical abbreviation that I use or am familiar with.  Patients with sickle cell trait may have bleeding into the urine from papillary necrosis of the kidney.  There is … Continue reading

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

My mother is 50 years old and suffering from some kind of kidney tumor and has increased creatinine level. I am really upset. Local Doctor suggested us removal of left kidney.

The problem that you describe is a urological problem.  I am a nephrologist and do not deal with kidney tumors.  I suggest that you consult with a urologist.

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

My partner has had repeated episodes of kidney stones (both kidneys) and his last lithotripsy in 2015 landed him in intensive care for four days. His age is 64 and his GFR was last measured at 40 in September. His health other than kidney issues up to now has been good. What generally is the near term prognosis in these cases and what generally are the guidelines for stone formers and transplantation? We’ve had difficulty getting information as we purchase our own insurance and have been forced to change policies, networks and doctors three times in three years as companies exit the individual market in NYS.

Transplantation is not done for kidney stone formers, unless permanent kidney failure becomes a complication of the chronic kidney stone disease.  I am a nephrologist and not a surgeon.  I do not perform lithotripsy.  This is a urological problem and … Continue reading

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

I am looking at trying to find help for my 34 year old daughter who live in Grand Rapids, Michigan. She has suffered with major kidney stone issues for about 10 years. As I understand it she has stones forming in only 1 of her kidneys which I understand is very unique. The doctors do not seem to know what is causing the stones to be able to stop their growth. She has had multiple lithotripsies and both of the other 2 more invasive procedures. None of these have resulted in clearing her kidneys of the stones completely and they continue to multiply. The last lithotripsy which was about 5 weeks ago left her with a hematoma about 12-13 cm big and much soreness. She was told it could be up to 6 months for this to heal for anything else to be done She cannot lift her 11 month old baby currently. Where do we look for help for her? Where do we look for a doctor who is familiar with situations like hers, who can help her, and who is on her local Michigan insurance. Any information you could provide would be most appreciated.

The problem that you describe is a urological problem and should be evaluated by a urologist.  I am a nephrologist and I have not experience with lithotripsy and treatment of existing kidney stones.  Neither I nor the National Kidney Foundation … Continue reading

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

Last year they found a complex renal cyst size 3.4cm. Had CT scan and they said it was okay. Now ultrasound shows it has grown to 4.2cm. Going for CT scan next week. What am I facing? What is the likelihood I have to have surgery?

The problem that you describe is a urological problem.  Urologists make decisions about when to perform surgery on a cyst in the kidney.  If this is a simple cyst, then no surgery should be anticipated.  If this is a more … Continue reading

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

Hello, I have a large cyst growing inside my kidney and would like to have it sucked out and then burned out with alcohol or whatever the procedure is completed with, in order to vacuum out the cyst and then kill/remove its lining/outershell cystic casing… 1) Do you have recommendations for this procedure? 2)And is there a list for great Kidney Surgeons in New Mexico to have this procedure safely done with? 3) Do you recommend this procedure or something else like maybe laser?

The problem that you describe is a urological problem.  I am a nephrologist and do not treat kidney cysts.  It is uncommon to have any treatment for simple kidney cysts, if that is what this is.  I recommend that you … Continue reading

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

I am suffering from recurrent renal calculus. Twice operated PCNL, URS, lithotripsy all occured. In last 3 month, stone number increased two times. Parathyroid, thyroid, serum calcium, uric acid all are normal. Drinking 4 liter water daily. Dietary precaution also taken. What I have to do stop stone formation and retard the speed?

The problem that you describe is a urological problem.  You must consult with a urologist.  I am a nephrologist. In order to stop the stones, you must undergo further testing to see what is causing the stones.  This may involve … Continue reading

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