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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Partial Obstruction,dialation In Right Kidney's Pelvic

Hi, my son is 8 months now, with PUJ, partial obstruction, dialation in right kidney's pelvic is 23mm. Split function 43%Rt and 57Lft. No urine reflux. No scars in kidney. On Antibiotic. Some drs suggest surgery, others rather wait and see, we are confused what is the right decision for our son's health?
Mon, 16 Jun 2014
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General Surgeon,  's  Response
Hi
Greetings

Dear Mr/Ms

Renal pelvic size more than 20 mm , surgery should be considered.
Its also important to consider the split renal function.
As the split renal function is still good, surgery can be witheld for time being.
I would suggest USg every 3 months and renal scan every 6 months. Any detrioration of the function or increase in size will be indication to stop conservative management and proceed with Pyeloplasty.

Take Care

Best Regards
Dr Deepak
Consultant Pediatric Surgeon
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Suggest Treatment For Partial Obstruction,dialation In Right Kidney's Pelvic

Hi Greetings Dear Mr/Ms Renal pelvic size more than 20 mm , surgery should be considered. Its also important to consider the split renal function. As the split renal function is still good, surgery can be witheld for time being. I would suggest USg every 3 months and renal scan every 6 months. Any detrioration of the function or increase in size will be indication to stop conservative management and proceed with Pyeloplasty. Take Care Best Regards Dr Deepak Consultant Pediatric Surgeon