
What Causes Persistent Right-sided Flank Pain After A Hysterectomy?

Pain could be due to obstruction to urine flow from the kidney into the ureter.
Detailed Answer:
Hello,
Thanks for the query.
You have undergone surgery of Hysterectomy 6 weeks back and getting severe pain in Rt loin.
The pain that you have is mostly due to obstruction to urine flow from Rt kidney down into ureter which has been revealed as a tortuosity of the ureter at PUJ level. The cause of obstruction could be intra operative injury to ureter or may be congenital.
The further study (DTPA) scan will reveal the status of kidney function which will help to decide the further management.
I think putting a D J stent in ureter should help to deobstruct the system and relieve pain and restore the kidney function.
Hope I have answered your query, please feel free to ask if you have more questions, I shall be happy to help you.
Thanks and Regards.
Dr.Patil.


Treatment will depend upon the results of test
Detailed Answer:
Hello
Thanks for follow up .
One thing that is certain that the severe pain is due to obstruction to flow of urine which could be either stone or accidental injury to ureter during surgery or post operative kinking of ureter due to adhesion .The primary target in such situation is to establish the cause of obstruction.and save the kidney from damage ..
Tortuousity of the ureter is secondary to obstruction and get resolved after the system is deobstructed .(Putting stent _.
Since there is mild hydronephrosis hopefully the problem can be resolved with putting a stent in ureter which is a simple endoscopic procedure .
Thanks and Regards.
Dr.Patil.

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