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Urology (Expert Forum)
Can surgery help my 15-year-old son?
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Henry Ford Hospital
West Bloomfield - MI
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Can surgery help my 15-year-old son?
by carol596, Jul 04, 2008 02:30PM
Hello, Doctor. My 15 year old has been diagnosed with moderate vur and moderate pelviectasis, in one kidney. Can surgery remediate the pelviectasis or has the disease process been allowed to progress for too long for the collecting system to recover fully? Would a successful surgery likely cause his elevated BUN to normalize? We don't know yet whether the obstruction is at the junction of the ureter at the bladder -- or higher. Thank you for any insight you can provide.
Doctor's Answer
by Stephen Liroff, MD, Jul 08, 2008 12:18AM
, Jul 08, 2008 12:18AM
The issue is really one of kidney function, and infections. The fact that the interior of the kidney is dilated is not the issue in vesicoureteral reflux. It is not the reflux that causes kidney damage, rather it is the infections that reflux can lead to that causes the damage. After the interior of the kidney has been stretched for many years, it will quite likely continue to be that way even if the reflux is corrected. Please note that vesicoureteral reflux and obstruction are different problems. Eliminating obstruction will help to stabilize kidney function, resolving reflux that is not resulting in infection will not.
The kidney function can be checked with a MAG-3 renal scan. This procedure is an outpatient one that involves a small amount of radiation and can provide information as to the relative contribution of each kidney to the combined kidney function. It can also assist in determining if there is obstruction and where the obstruction is located.
Serum creatinine and creatinine clearance measurements are more meaningful than the BUN in assessing kidney function.
Hope that this helps.
S.A.Liroff,M.D.
This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition.
The kidney function can be checked with a MAG-3 renal scan. This procedure is an outpatient one that involves a small amount of radiation and can provide information as to the relative contribution of each kidney to the combined kidney function. It can also assist in determining if there is obstruction and where the obstruction is located.
Serum creatinine and creatinine clearance measurements are more meaningful than the BUN in assessing kidney function.
Hope that this helps.
S.A.Liroff,M.D.
This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition.
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