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Suggest Treatment For Enlarged Kidney In Infant
Question: Please find here the Scan Report and review. The scan done for 8 months old boy infant.
Brief Answer:
The report shows some enlarged kidney with preserved renal function
Detailed Answer:
Hello
Renal Technetium scan is done to test renal function. There can be two types of renal scan one to assess renal function and other to find out structural abnormality. The one which has been done for your baby is diuretic renal scan. This is advised to
1)Evaluate functional significance of hydronephrosis
2)Determine need for surgery
obstructive hydronephrosis - surgical Rx
non-obstructive hydronephrosis - medical Rx
3)Monitor effect of therapy
Your report shows there is hydronephrosis due to some obstruction. But it is good that renal function is preserved. Repeat ultrasound at 1 year of age is needed to know the progression or regression of the condition. Mostly the condition gets better.
An intravenous pyelogram may be needed to exactly lacate the obstruction and then management accordingly.
The common causes are PUJ obstruction and it can be treated well with surgery.
Regards
The report shows some enlarged kidney with preserved renal function
Detailed Answer:
Hello
Renal Technetium scan is done to test renal function. There can be two types of renal scan one to assess renal function and other to find out structural abnormality. The one which has been done for your baby is diuretic renal scan. This is advised to
1)Evaluate functional significance of hydronephrosis
2)Determine need for surgery
obstructive hydronephrosis - surgical Rx
non-obstructive hydronephrosis - medical Rx
3)Monitor effect of therapy
Your report shows there is hydronephrosis due to some obstruction. But it is good that renal function is preserved. Repeat ultrasound at 1 year of age is needed to know the progression or regression of the condition. Mostly the condition gets better.
An intravenous pyelogram may be needed to exactly lacate the obstruction and then management accordingly.
The common causes are PUJ obstruction and it can be treated well with surgery.
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
is the surgery required at this stage
Brief Answer:
No surgery is not needed at this stage
Detailed Answer:
Hello
The report shows relative function of left kidney is 49% and of right kidney is 51%.Values between 45-55% is considered normal.The function below 35-40% in presence of obstructed drainage is abnormal.
In infants with an obstructive pattern on diuretic renal scan and function exceeding 40%, conservative management is appropriate.
As renal function of both the kidneys are normal,follow up with serial USG is needed.If there is USG finding deteriorates,repeat scan may be needed. If the renal function declines surgery may be needed after proper evaluation by a nephrologist.
Regards
No surgery is not needed at this stage
Detailed Answer:
Hello
The report shows relative function of left kidney is 49% and of right kidney is 51%.Values between 45-55% is considered normal.The function below 35-40% in presence of obstructed drainage is abnormal.
In infants with an obstructive pattern on diuretic renal scan and function exceeding 40%, conservative management is appropriate.
As renal function of both the kidneys are normal,follow up with serial USG is needed.If there is USG finding deteriorates,repeat scan may be needed. If the renal function declines surgery may be needed after proper evaluation by a nephrologist.
Regards
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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