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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should Be Done For Bilateral Mild Hydronephrosis?

went for an ultra sound and the doctor wrote as follows:
multiple fibroids largest on the right side 8cm x 7cm, another myometrial fibroid is see compressing the endometrial stripe,the endometrial stripe is thickenind measuring 1.8cm, right overys is bulk measuring 30cc, increased vascularity and some peri-ovarian fluid seen,bilateral mild hydronephrosis is seen.

Please advice on what i should do
Mon, 25 Aug 2014
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Urologist 's  Response
Hi,

Bilateral mild hydronephrosis means mild swelling in both of your kidneys. This can be a normal finding with full bladder. This needs to be checked again after you pass urine. If it does not settle after passing urine, another cause could be the large fibroid causing mild obstruction in both ureters (the tubes connecting kidneys with bladder). In this case, the ureters will also be swollen (called as hydroureteronephrosis).
You need to check your kidney function using serum creatinine level. If it is confirmed that uterus is causing obstruction, your Gynecologist may advise a hysterectomy (removal of uterus).
Please get back to me with your age, serum creatinine, and repeat ultrasonogram looking for the features I have explained.
Wish you good health,
Warm regards,
Dr. Raguram G MS, MRCS, MCh (Uro), F. Endouro
Endourologist
AUKI

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What Should Be Done For Bilateral Mild Hydronephrosis?

Hi, Bilateral mild hydronephrosis means mild swelling in both of your kidneys. This can be a normal finding with full bladder. This needs to be checked again after you pass urine. If it does not settle after passing urine, another cause could be the large fibroid causing mild obstruction in both ureters (the tubes connecting kidneys with bladder). In this case, the ureters will also be swollen (called as hydroureteronephrosis). You need to check your kidney function using serum creatinine level. If it is confirmed that uterus is causing obstruction, your Gynecologist may advise a hysterectomy (removal of uterus). Please get back to me with your age, serum creatinine, and repeat ultrasonogram looking for the features I have explained. Wish you good health, Warm regards, Dr. Raguram G MS, MRCS, MCh (Uro), F. Endouro Endourologist AUKI