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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For UTI

My 19 year old daughter had a recent UTI/kidney infection that came on quite suddenly and with substantial pain. She has had 3 or 4 UTIs in the last 3 or 4 years. A CT revealed high-grade hydronephrosis with substantial cortical thinning. Given the abrupt transition a dialated pelvis to a nondialated ureter, congenital UPJ obstruction was diagnosed. Is it unusual to have congenital disorder show up so late? Given that the CT was taken while she had a severe infection, is it possible that the infection alone explains the abnormal CT?
Fri, 11 Sep 2015
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Urologist,  's  Response
Hello and welcome to HCM.
As an Urologist, i can fully understand your concern.
Congenital UPJO does present in adults.(UPJ-obstruction).
Infection can't explain the abnormal CT scan. The recurrent UTI's, secondary to the UPJO, which was not corrected earlier, has resulted in cortical thinning. This leads to reduced kidney function, if left untreated.
Next step is to determine, function of the kidney with the UPJO, to know if that kidney can be salvaged with surgery. This is done by a test called isotope renal scan. If you want an expert opinion on the scan report, you can send the report to me. Wish her well.
Dr.Matthew J. Mangat.
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Suggest Treatment For UTI

Hello and welcome to HCM. As an Urologist, i can fully understand your concern. Congenital UPJO does present in adults.(UPJ-obstruction). Infection can t explain the abnormal CT scan. The recurrent UTI s, secondary to the UPJO, which was not corrected earlier, has resulted in cortical thinning. This leads to reduced kidney function, if left untreated. Next step is to determine, function of the kidney with the UPJO, to know if that kidney can be salvaged with surgery. This is done by a test called isotope renal scan. If you want an expert opinion on the scan report, you can send the report to me. Wish her well. Dr.Matthew J. Mangat.