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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following TIFFA Scan Report Suggest?

Hello doctor, My wife undergone tiffa scan at 25 weeks in the report it is mentioned as bilateral fetal hydronephrosis left kidney measure 18mm and right one is 8.3 mm... doctor suggested further follow up tiffa scan@ 30 weeks... Will the situation comes to normal...please advise me...by the way pediatric nephrologist told me that amino fluid afi is 22cm it is good sign...what are things I need to be careful before and after delivery this is first pregnancy.Thank you
Thu, 9 Aug 2018
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

There is gross hydronephrosis (fluid collection and dilation) on the left side and minimal changes on right side. There is a chance for some abnormalities in the fetal urinary system, like posterior urethral valve or VUR. Do a frequent followup and check whether the diameter is coming down or not. Up to 10 mm is normal and if the problem persist even after birth, then surgical correction may be needed. Consult a pediatric surgeon immediately after birth.

Wishing you good health.

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What Does The Following TIFFA Scan Report Suggest?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is gross hydronephrosis (fluid collection and dilation) on the left side and minimal changes on right side. There is a chance for some abnormalities in the fetal urinary system, like posterior urethral valve or VUR. Do a frequent followup and check whether the diameter is coming down or not. Up to 10 mm is normal and if the problem persist even after birth, then surgical correction may be needed. Consult a pediatric surgeon immediately after birth. Wishing you good health. Thanks.