Patient.
Hello: six weeks pregnant check baby left hydronephrosis 0.9, right kidney 0.5. at birth left hydronephrosis 1.5, right kidney 1.2, baby 40 days recheck left hydronephrosis 0.9, right kidney 1.2, 8 months recheck left kidney 0.5, right kidney 1.2, no treatment baby can now operate? What to do now will the hydrocele affect the baby’s kidney?
Patients.
The baby is now eight and a half months, today went for an ultrasound, showing that the left kidney hydronephrosis 0.5, right kidney hydronephrosis 1.2, what to do, the doctor did not issue a laboratory test.
Li Ji, Department of Pediatric Urology, Zhengzhou Children’s Hospital.
Check the urinary routine and urological ultrasound to see if there is any ureteral dilatation, and urinary tract infections and other diseases, if none of them, you can continue to observe and do not need surgery for the time being.
Patient.
The ureter is a little dilated, if the amount of fluid like now, not increasing, as the child grows, will the kidney function be affected (the current kidney function is normal), such as what degree of hydronephrosis, that is, what is the indication to do surgery ah, currently need surgery, can now do renal arteriography ah.
Li Ji, Department of Pediatric Urology, Zhengzhou Children’s Hospital.
Is the ureter dilated throughout or only the upper part of the ureter is dilated, the unit is M or
Patient.
Hello, it is the upper part of the dilatation, the unit is cm. how do I need to treat it?
Li Ji, Department of Pediatric Urology, Zhengzhou Children’s Hospital.
The patient’s urinary tract is not dilated at all.
Patient.
Thank you for your help, Dr. Li, please ask to how much fluid can be operated.
Li Ji, Department of Pediatric Urology, Zhengzhou Children’s Hospital.
Generally in more than 15 mm need to do intravenous urography examination, and then according to the examination to decide whether to operate, now can also be observed again, surgery is traumatic, if you can not do, as far as possible not to do
Patient.
Thank you, Dr. Li. If a child’s fluid doesn’t rise until the age of one, is it possible to use medicine to make the fluid decrease?
Li Ji, Department of Pediatric Urology, Zhengzhou Children’s Hospital.
There is no drug to cure, it is a congenital anatomical abnormality
Patients.
Will the baby’s hydrocele slowly decrease with age?
Li Ji, Department of Pediatric Urology, Zhengzhou Children’s Hospital.
No, it will not increase. As long as there is no back body pain and no further increase in hydrocele, it can always be observed.
Patient.
If there has been no increase, can it be treated without surgery?
Li Ji, Department of Pediatric Urology, Zhengzhou Children’s Hospital.
If there is no increase or no symptoms, it can be treated without surgery, just keep observing it, and it will last all the time and can last a lifetime without surgery.
Patient.
If it keeps not increasing, does it have any effect on the kidney function of the child? Thank you Dr. Li for your help!
Li Ji, Department of Pediatric Urology, Zhengzhou Children’s Hospital.
No effect, he will be very healthy!