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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Kidney Damage Occurred Due To Hydronephrosis?

At 18 years old i had an unexplained inability to urinate and wore a catheter for several weeks. My Dr. did a urethral dilation surgery as a last resort after many tests that showed nothing (including CT scan). Incidental finding on CT scan showed I had mild, symptomless spina bifida. At 45 I have been diagnosed with stage 3 ckd due to creatinine level of 1.21, eGFR 54. I am trying to understand why, as I am in *perfect* health, excellent BP, glucose, etc. I am wondering if maybe my kidney damage was caused by ongoing hydonephrosis (either due to spina bifida or partial blockage). I am suspicious becuase of having two sonograms (one in pregnancy, one for this condition) where the technician said my bladder was full when I could not feel that it was. Also have had mild back pain on left multiple times that radiated down to left labia. Any thoughts or advice?
posted on Thu, 27 Mar 2014
Twitter Sun, 3 May 2015 Answered on
Twitter Mon, 4 May 2015 Last reviewed on
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Urologist,  's  Response
Hello
Thanks for query.
Based on the facts that you have posted I would say that you have Neurogenic bladder .

The hydronephrosis that you have is due to incomplete emptying of bladder and your kidney damage is due to pyelonephritis that results from partly due stagnation of urine in pelvicalyceal system and partly due to reflux of urine in the kidney.

Consult qualified Urologist /Nephrologist for detail evaluation and ge following basic test done to confirm the diagnosis.
1) Urodynaemic study.
2) Endoscopic examination of bladder (Cystoscopy).

Take Oxybutinine once daily

Further treatment will depend upon th final diagnosis.
Dr.Patil.
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Has Kidney Damage Occurred Due To Hydronephrosis?

Hello Thanks for query. Based on the facts that you have posted I would say that you have Neurogenic bladder . The hydronephrosis that you have is due to incomplete emptying of bladder and your kidney damage is due to pyelonephritis that results from partly due stagnation of urine in pelvicalyceal system and partly due to reflux of urine in the kidney. Consult qualified Urologist /Nephrologist for detail evaluation and ge following basic test done to confirm the diagnosis. 1) Urodynaemic study. 2) Endoscopic examination of bladder (Cystoscopy). Take Oxybutinine once daily Further treatment will depend upon th final diagnosis. Dr.Patil.