Question My daughter is 2years old ,post -op left pyeloplasty in oct. 2011.few days back we have her DTPA renal done.after reading her report I am very puzzled . report shows right kidney normal with good drainage. But left kidney appears hydronephrotic though normal in size .perfusion and cortical tracer uptake is preserved. transit time normal and good drainage.I just don't understand that even after pyeloplasty why my daughter's left kidney appears hydronephrotic? compared to previous DTPA scan dated 10-6-2011. significant improvement noted in drainage pattern of left kidney. report is giving impression of improvment but why even after 1year still her left kidney is hydronephrotic. Dr. please help me . All patient having this problem undergone dtpa scan after every 6 months? when they are perfectly alright?
Answer pyeloplasty cures the block and prevents further pressure changes and need not revert the previous damage.
its better to have scan done periodically life long as damaged kidney can be highly susceptible to infection and or stones or further block at different places.
Also do get blood pressure checked at least once a year.
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I was a pediatrician at Seth GS Medical College and KEM Hospital Mumbai India, since 1999 till 2010.
Currently as a pediatrician and as a associate professor at Topiwala National Medical College, BYL Nair hospital Mumbai.
Pioneered as Online Indian Pediatrician for free advice SINCE 2002.
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Currently also as a consultant in child health specialist pediatrician in Mumbai India at Shushrusha Hospital Walk in clinic Daily 7 to 9 pm Dadar West.