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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Acute Pyelonephritis, UTI. Mild Hydroureteronephrosis. Is Surgery Necessary?

Hi :) I was at the hospital with diagnosis - acute pyelonephritis uti fer hydronephrosis - after i was discharged of finally being stable , i was told to have win in a month or so , radiology tests . I just got the radiology report saying ( ultrasound Kidney ) .... Right Kidney - 11.5 cm parenchyma is within normal limits . No hydronephrosis . - Lef Kidney - 9.3 cm . Moderate left hydroureteronephrosis . The mid and distal ureter is not seen . ----- Bladder Unmarkable . ........ Could you please let me know how am i doing ? What actions do i need to take in order to get better . Is it necessarily to have a surgery ?Why kidneys size are so much different from the other ?
Mon, 10 Dec 2012
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Urologist 's  Response
Hi,
Welcome to HCM.
You need to be examined as a whole.
Physical examination, findings on CT SCAN, evidence of infection in blood and urine should decide the line of treatment.
Size difference can be there, but it may be an error of measurement as well.
Kindly stick to your urologist/nephrologist and appropriate steps need be taken as and when necessary.
Best regards
DR GS
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Diagnosed With Acute Pyelonephritis, UTI. Mild Hydroureteronephrosis. Is Surgery Necessary?

Hi, Welcome to HCM. You need to be examined as a whole. Physical examination, findings on CT SCAN, evidence of infection in blood and urine should decide the line of treatment. Size difference can be there, but it may be an error of measurement as well. Kindly stick to your urologist/nephrologist and appropriate steps need be taken as and when necessary. Best regards DR GS