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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Ca Of Urinary Bladder. Bladder And Prostate Removed. CT Scan Showing Cysts In Kidney. Anything To Be Worried?

Hi I am eaged 47 yrs , diagnosed of Ca of U Bladder TCC stage II in 2006, operrated at Lilawati hospital with bladder & prostrate removed, neo bladder planted.
I am having follow up since then. my recent CT scan shows "the right kidney shows presence of mall cysts and prominence of pelvi calyceal system and ureters on both sides. bilateral kidney shows surface irregularity and cortical scarring, mainly on right side. no definte mass or calculus lession is seen. Renal enhancement and contrast excretion is preserved.

what does this mean. ? my KFT shows Urea 50 & creatanine 0.86.

does there any cause of worry considering my medical history .

any medication required.

Pls reply . my email is YYYY@YYYY

Regards
Sat, 8 Jun 2013
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General Surgeon,  's  Response
Hi ! The presence of small cyst in right kidney could be an incidental finding, but you have to have regular follow up for it. The prominence of bilateral pelvi calyceal system may be signifying some kind of back pressure of the urine may be due to some partial blockage of the ureteric openings . Also the irregularity and scarring seen in the kidneys could be due to unnoticed silent chronic ascending infection of the kidneys. Presently both your urea and creatinine levels are within acceptable normal limits. However, to avoid any complication in future, you should get yourself reviewed by your nephrologist who may advise to get your urine R routine and culture sensitivity test before proceeding further.
Wishing you good luck.
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Diagnosed With Ca Of Urinary Bladder. Bladder And Prostate Removed. CT Scan Showing Cysts In Kidney. Anything To Be Worried?

Hi ! The presence of small cyst in right kidney could be an incidental finding, but you have to have regular follow up for it. The prominence of bilateral pelvi calyceal system may be signifying some kind of back pressure of the urine may be due to some partial blockage of the ureteric openings . Also the irregularity and scarring seen in the kidneys could be due to unnoticed silent chronic ascending infection of the kidneys. Presently both your urea and creatinine levels are within acceptable normal limits. However, to avoid any complication in future, you should get yourself reviewed by your nephrologist who may advise to get your urine R routine and culture sensitivity test before proceeding further. Wishing you good luck.