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Doctor insights on: Ureteropelvic Junction Obstruction

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Recent cat scan showed prominence of the right renal pelvis without urethral dilates or calculus suggests an incomplete upj obstruction. ?

Recent  cat scan showed prominence of the right renal pelvis without urethral dilates or calculus suggests an incomplete upj obstruction.  ?

Several causes: Prominence of renal pelvis can be caused by stasis in capacious renal pelvis, extrarenal pelvis congenital normal variation, and sometimes ureteropelvic obstruction.Usually a nuclear renal scan with Tc99m DTPA or MAG3 can be used to differentiate stasis from true or significant obstruction. ...Read more

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Obstruction (Definition)

Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more


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What is stricture at the right ureteropelvic junction?

What is stricture at the right ureteropelvic junction?

Urinary tract: Ureteropelvic is at the area where your ureter crosses your pelvic bone. The junction is a few centimeters from the bladders. The stricture means the tube is pinched. ...Read more

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Would urethral membranous stricture cause nocturia ?

Would urethral membranous stricture cause nocturia ?

It might: See below for symptoms of urethral stricture: http://www.healthline.com/health/urethral-stricture#overview1 It doesn't look like from your history you have a known urethral stricture and there are other causes for nocturia (e.g. diabetes, bladder problems) so I'd recommend assessment by a doctor licensed in your area to sort through the possibilities and order tests if needed. ...Read more

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Multiple calcified densities at pelvis could represent phleboliths versus distal uretral lithiasis?

Multiple calcified densities at pelvis could represent phleboliths versus distal uretral lithiasis?

Symptoms?: I guess you are reading the report of an abdominal x ray. Phleboliths are benign and are no cause for concern. They are not easily confused with ureteral stones especially when multiple. Stones would cause fever, pain, blood in urine. ...Read more

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Retrograde urethrogram report: q 3 of 3. Impression: suggestive of bladder outlet obstruction with significant pvr. Meaning?

Retrograde urethrogram report: q 3 of 3. Impression: suggestive of bladder outlet obstruction with significant pvr. Meaning?

Urinary retention: You describe a condition consistent with urinary retention and bph, typically relieved with meds or surgery. Further evaluation needed by a urologist. Unclear why a retrograde urethrogram was performed unless suspected a stricture. ...Read more

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Pelvic CT for micro hematuria revealed mild prominence of renal collecting system in the calyces bilaterally. No obstruction. Meaning?

Pelvic CT for micro hematuria revealed mild prominence of renal collecting system in the calyces bilaterally. No obstruction. Meaning?

Renal anatomy: The solid tissue of the kidney is comprised of an outer cortex and inner medulla. The blood is filtered and urine and is produced here. Urine is emptied into the collecting system, which begins at the calyces. Ultimately, the ureters transport urine to the bladder. Prominence or enlargement of the collecting system can sometimes indication obstruction to this outflow, which was not found. ...Read more

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How painful is membranous urethral stricture dilatation ?

Moderately painful: This most often done using local( Lidocaine) anesthesia in the office, The pain also depends on the severity of the stricture. If severe, an optical internal urethrotomy ( cutting the stricture using a cystoscope) may be done with general anesthesia ...Read more

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My ct scan showing sutble residual terminal ileal thickening and ic junction what is possibility.

My ct scan showing sutble residual terminal ileal thickening and ic junction what is possibility.

Not sure: Without seeing the images (I'm a radiologist), I can know. "thickening" is commonly normaldue to peristalsis or non distention of bowel. Diseases that cause bowel wall thickening include: infection, lack of blood flow (ischemia), cancer, and diseases of unknown origin (Crohn's disease is the most common at that location). The key is to look for the typical appearance for of each for diagnosis. ...Read more

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Moderate right hydroureteronephrosis with right terminal ureteric calculus?

Moderate right hydroureteronephrosis with right terminal ureteric calculus?

Ouch: It may pass and if so the hydro will also pass. Need to fnd any preventable cause. Calcium, uric acid, gout, hyper parathyroid etc. Any previous? Family history? Your pcp and urologist will,work with you and hopefully clear this one and prevent future ones. ...Read more

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Impression = minimal lelft hydronephrosis no ureter dilatation A 5MM nonobstructing left renal calculas bladder shows norma out l?

Impression   =  minimal lelft hydronephrosis  no  ureter  dilatation A 5MM nonobstructing left renal calculas bladder shows norma out l?

Here are someā€¦: Minimal hydronephrosis could be just a radiologist's subjective impression, but may not be related with a 5-mm non-obstructing stone. However, the key point still lies on how to manage this 5-mm stone, which can be deduced by analyzing the past history of stone activity and balancing medical necessity and professional possibilities. So, consult urologist timely. ...Read more

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Is congenital upj at the right kidney with pelvic caliectasis bad?

Is congenital upj at the right kidney with pelvic caliectasis bad?

Yes: Congenital UPJ (ureteropelvic junction) obstruction often presents with febrile urinary tract infection, and requires surgical repair. ...Read more

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My ct scan showing sutble bowel thickning terminal ilum and ileocecal junction what is finding?

My ct scan showing sutble bowel thickning terminal ilum and ileocecal junction what is finding?

Inflammation : What you are describing sounds like an inflammed end of small bowel. This is an area where many different entities live such as Crohn's disease or ulcerative colitis with backwash ilEuros as well as infections. It is best you talk to your doctor so he can match your symptoms with the images. ...Read more

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What could cause fetal lower urinary tract obstruction?

What could cause fetal lower urinary tract obstruction?

Fetus urInary block: The most common cause of a fetus having lower urinary tract blockage would be a "posterior urethral valves". This happens in boys and has a spectrum of presentation and treatments depending on the severity of the blockage and there may be issues with the bladder and kidneys because of the blockage. Because this issue can harm the fetus' lungs, your OB and. Pediatric urologist should be involved. ...Read more

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GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?

GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?

Need context...: ...for which your test was ordered. Also, your question is ideally & confidentially answered in the Concierge forum of HealthTap--would suggest you consider that route to your query. ...Read more

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Complete duplex collecting system of left side w/ severe ureteral swelling & ureteral stone blockage in young adult. ?

Complete duplex collecting system of left side w/ severe ureteral swelling & ureteral stone blockage in young adult. ?

Same as one with...: How to remove the offending stone in complete duplicating system is the same as those for single-ureter collecting systems. Rx options may be eswl, percutanesous, or trans-ureteroscopic procedures depending the size ; location of stones, clinical pictures, facility tech availability, and surgeon's skill ; preference, etc. So, ask urologist so to decide what is more reasonable for your situation. ...Read more

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I have been diagnosed with mild calyceal dilation in right kidney suggesting hydronephosis, a 4mm calculus at ureter bladder junction. Is this serious?

I have been diagnosed with mild calyceal dilation in right kidney suggesting hydronephosis, a 4mm calculus at ureter bladder junction. Is this serious?

Probably not: A Stone in the ureter can cause back pressure in the kidney which results in dilation of the collecting system. The kidney can tolerate this for relatively short periods of time however if this continues it can damage the kidney. I would suggest you consult a urologist. ...Read more

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38 wk pregnant, bilateral hydronephroses rt kidney7.5mm, 1.5cmlft kidney, bladder elongated, 2vessel cord 1umbilical artery. Complicated & surgery need?

38 wk pregnant, bilateral hydronephroses rt kidney7.5mm, 1.5cmlft kidney, bladder elongated, 2vessel cord 1umbilical artery. Complicated & surgery need?

Fetal hydronephrosis: Mild right, moderate left kidney. Presume normal amniotic fluid. Elongated bladder suggests baby, if male, may have urethral valves, or bladder reflux if of either sex. Should be able to proceed with pregnancy as normal. Suggest contact a pediatric urologist. Baby needs work-up after birth, ultrasound & VCUG (bladder xray). Start antibiotics (amoxicillin) & circ. If a boy. May need surgery later. ...Read more

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My usg kub report-moderate hydronephrosis, dilated upper part of uretor, however cause of obstruction couldn't be visualized uuj is clear. Explain?

My usg kub report-moderate hydronephrosis, dilated upper part of uretor, however cause of obstruction  couldn't be visualized uuj is clear. Explain?

See urologist...: For the depicted clinical profile, it's reasonable to review and compare the different sets of films from ivp or ct.Ivp to see what has been sequential change so to decide what to do next. If hurting now but with the picture as described in usg..., cystoscopy, retrograde pyelogram (special x-ray) with or without ureteroscopy are needed to verify why. Best wish ... Always. ...Read more

Occlusion (Definition)

This refers to how the teeth come together. There are 3 classifications: normal or class i, an excessive overbite or class ii, and an ...Read more