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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Needed For Hydronephrosis?

I've undergone retrocaval ureter sugery an year back. Now as renal pain was persisting, i got IVP done & doc says there's hydronephrosis & i need to undergo Cystoscopy. Would u please tell me what is the severity of my case? Is it really necessary to undergo surgery?
Wed, 16 Dec 2015
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Urologist,  's  Response
Hello
Thanks for query .

You have undergone surgery for Retrocaval Ureter one year back but still has pain in loin on affected side .

This could be mostly due to hydronephrosis secondary to stricture of the ureter at the site of ureteral anastomosis .

You need to do further test like DTPA scan to assess the kidney function .

Doing a redo surgery to explore the site of anastomosis to excise the strictured segment and repair the anastomosis will help to save your kidney and give relief from pain .

Do not worry this is known complication of this surgery which gets resolved with surgical treatment .

Dr.Patil.
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Is Surgery Needed For Hydronephrosis?

Hello Thanks for query . You have undergone surgery for Retrocaval Ureter one year back but still has pain in loin on affected side . This could be mostly due to hydronephrosis secondary to stricture of the ureter at the site of ureteral anastomosis . You need to do further test like DTPA scan to assess the kidney function . Doing a redo surgery to explore the site of anastomosis to excise the strictured segment and repair the anastomosis will help to save your kidney and give relief from pain . Do not worry this is known complication of this surgery which gets resolved with surgical treatment . Dr.Patil.