What Causes Pelvicestasis With Pain?

Hi, I am sorry to know about your severe pain. Please be assured that your condition is treatable once a proper diagnosis is made. Pelvicetasis means a dilatation or swelling in the part of kidney (renal pelvis) which connect the inner urine collecting parts of kidney to ureter (the tube connecting kidney to bladder). This can be due to any obstruction in the junction of renal pelvis and ureter (pelvi-ureteric junction obstruction) or reflux of urine (urine flows back from bladder to kidneys while passing urine). In some conditions, mild pelviectasis may be a normal finding also. Your CT scan will usually guide regarding the correct diagnosis. The other tests that may be required, include MCU (micturiting cystourethrogram) to check for reflux and DTPA scan (radionuclide scan) to check for obstruction. This decision regarding further tests will be made by your Urologist, based on the exact findings of CT scan. Please get your urine checked for any associated urine infection, which can increase the pain. If there is pyuria (increased number of pus cells in urine), you need to take antibiotics to control the infection, before proceeding for further tests. If the pain is severe, you can take one or two doses of over-the-counter mild pain killers which do not affect the kidney function (avoid NSAID group of drugs). However, it is advisable to consult your Urologist as soon as possible. Hope I have answered your query. Please feel free to get back to me if you need any more clarification. Wish you a speedy recovery, Best regards, Dr. Raguram G MS, MRCS, MCh (Urology), Fellow in Endourology