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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Metastatic Prostate Cancer With Obstructive Uropathy And Renal Failure. Stent Fitted In Right Kidney. Creatinine 3.4.

My father is 74 years old. He is being diagonsed with Metastatic Cancer Prostate with obstructive uropathy and renal failure.
A stent is fitted in his right kidney and the feeding is done through nose. Now the situation is this that creatinine has increased from 2.1 to 3.4 .
What I want to know is it advisable to put a tube in left kidney, so that waste fluid can come out and condition be improved.
Wed, 3 Jul 2013
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General & Family Physician 's  Response
Hi,

The best treatment for renal failure is dialysis. Dialysis in your father can be done via an AV fistula or by a central line. I dont understand where the stent was placed in the kidney. Was it in the ureter or in the artery supplying to the kidney. If it was in the artery supply. It is possible that he has renal artery stenosis. If it was in some other location, it could mean something else.

Anyway, creatinine levels are not that indicative of a person's health. Some people are even able to lead active lives like swimming and cycling with creatinine at 4 or 5. What you need to see is how your father is doing. Is he energetic. If he is energetic, ignore the creatinine readings and focus on other aspects of his treatment.

Dr Vineet
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Diagnosed With Metastatic Prostate Cancer With Obstructive Uropathy And Renal Failure. Stent Fitted In Right Kidney. Creatinine 3.4.

Hi, The best treatment for renal failure is dialysis. Dialysis in your father can be done via an AV fistula or by a central line. I dont understand where the stent was placed in the kidney. Was it in the ureter or in the artery supplying to the kidney. If it was in the artery supply. It is possible that he has renal artery stenosis. If it was in some other location, it could mean something else. Anyway, creatinine levels are not that indicative of a person s health. Some people are even able to lead active lives like swimming and cycling with creatinine at 4 or 5. What you need to see is how your father is doing. Is he energetic. If he is energetic, ignore the creatinine readings and focus on other aspects of his treatment. Dr Vineet