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PU Junction Obstruction
My baby (age-2 month) has Moderate hydronephrosis of the left kidney with dilatation of the renal pelvis and mild cortical thinning - suggestive of PU Junction obstruction.
ultrasound Reports :-
Left Kidney : measures about 5.5X2.4 cm in size and reveals moderate changes of hydronephrosis with dilation of the renal pelvis. AP diameter of the renal pelvis in transverse plane is 14mm Cortical thickness is mildly reduced (6-7mm) andechogenicity is grade-0] No evidence of calculus of mass is seen
Right kidney : measures about 4.2X1.8 cm in size and appears normal in size, shapes, position and echopattern. Cortical thickness is normal and echogenicity is grade-0, with normally preserved cortico-mdeullary differentiation. No evidence of calculus, mass or hydronephrosis is seen.
plz suggest me for treatment. surgery is necessary or not.
Answers (2)
Get DTPA scan and kidney function test and urine test...Then take opinion of pediatric surgeon...
Next Steps
opinion by pediatric surgeon
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Hi thanks for writing to Practo consult.
Any newborn baby diagnosed of PUj obstruction needs to undergo some tests they are
Ultrasound of kidney.
Urine RM and CS
MCU (depending on evaluation of pediatric surgeon)
DMSA scan.
If all these are already done and DMSA is showing kidney function compromise, its entirely pediatric surgeons decision when to take for surgery. And surgery and follow up are only treatment modules available. Please do not go for any alternative treatment line, you will loose the golden time at your hand.
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