#Hydronephrosis

[yourdrbhavesh]

Tongue-Tie: What It Is and How It's Treated | Dr. Bhavesh Doshi | Pediatric Surgeon in Mumbai

In this informative video, Dr. Bhavesh Doshi, a renowned Pediatric Surgeon in Mumbai, sheds light on tongue tie, a common condition that affects children.

He explains how tongue tie can lead to delayed speech or slurring of speech due to the inability to protrude the tongue beyond a particular part of the mouth, and how this condition can be corrected through a simple surgical procedure using a Bipolar Cautery device.

Dr. Doshi emphasizes that the surgery should be performed at around 8 to 10 months of age when the child is learning to speak, and that older children may require speech therapy for complete correction of their speech.

With over a decade of experience in the field, Dr. Doshi's expertise in pediatric surgery and his passion for educating people about common childhood conditions make this video a must-watch for parents and caregivers.

For any queries or questions, book an appointment with Dr. Bhavesh Doshi:

📞 Call: +91 9820565205

📧 Email: info@drbhaveshdoshi.com

🌐 Visit: https://dhanvantarihospitals.com/dr-b...

📍 Borivali West | Dahisar East | Kandivali West

Watch videos on similar topics by Dr. Bhavesh Doshi:

➡️ Hydronephrosis and neuroblastoma treatment in babies:    • Hydronephrosis an...  

➡️ Intussusception in Children:    • Intussusception i...  

➡️ Choledochal Cyst:    • Choledochal Cyst ...  

➡️ Appendicitis in Children:    • Appendicitis in C...  

[allkindsofadvocacy]

Find Me Friday: Bodie & Augustus!

Logo that says Reece’s Rainbow Special Needs Adoption Support in blue, below a blue & yellow paint stroke rainbow graphic with a yellow Ukrainian trident symbol on the right half. In this series, each Friday, I want to share a different child or group of children with you who are available for adoption and listed through the adoption advocacy website Reece’s Rainbow. All the kids who are listed…

[little-pissbaby]

this is gonna get TMI and it will get sad and whiny so please don't feel obligated to keep reading.

it takes so many steps to be alive. all of the things you do subconsciously suddenly become arduous tasks when you have to do them manually. things like eating, drinking, sleeping, breathing, using the bathroom, it's exhausting having to think about and consciously or manually do even just one of those things.

I was officially diagnosed with dysautonomia a few months ago, although I have been struggling with my symptoms for over a decade and I've been in treatment for several years. I was also diagnosed with a neurogenic bladder that same month. this means I have to catheterize myself 3-4 times a day every day for the rest of my life, or until I can get a suprapubic catheter placed.

Y'ALL. self-cathing is beyond exhausting. it's a little bit of a genuine workout, especially when you're morbidly obese like me. I hate that I've gotten really good at it and that it doesn't take me long at all now. I didn't want to get good at it, I didn't want to have to have this skillset. I already have to know how to draw up and give an IM injection, how to flush an IV, how to reduce dislocated joints in myself and others... I am TIRED.

I'm sure a colostomy is also in my near future. I have the same problems in my colon that I have in my bladder, only it's also complicated by endometriosis in the walls of my colon and rectum. they haven't been completely infiltrated yet, but if this IUD doesn't do its job, then I'm definitely gonna start losing organs and my mind.

at this point I'm out of words to explain why I'm so cosmically fatigued but if I tag every diagnosis/condition I have maybe y'all can sorta get an idea.

sorry for ranting. I have to go cath myself now.

at least I do it under the supervision of the best medical advisor ever <3 all she asks for in return are kisses, cuddles, and crunchies <3<3

[medicalcareinfo]

Is your child suffering from pediatric hydronephrosis? Know the causes, symptoms and hydronephrosis treatment options.

[prashantjainsblog]

What Is Antenatal Hydronephrosis?

Antenatal hydronephrosis is the condition that occurs in the fetus during pregnancy. The condition is characterized by enlargement of the kidney due to the accumulation of fluid. Antenatal hydronephrosis indicates various renal disorders in the fetus. found more in males as compared to females. The condition is It is found in 0.5 percent of females and 1 percent in males. Fortunately, in almost all the case, other organs are not affected due to antenatal hydronephrosis.

How Is Antenatal Hydronephrosis Diagnosed?

Antenatal hydronephrosis is diagnosed through various methods. Some diagnostic techniques involve advanced equipment and may not be available at al the centers for diagnosing this condition. Most cases of antenatal hydronephrosis are found during a routine ultrasound at around 20 weeks gestation period.

Following are the methods to diagnose antenatal hydronephrosis:

Laboratory testing: Evaluating the urine sample of the fetus may help in identifying kidney dysfunction or renal dysplasia. Through the ultrasound-guided technique, the urine sample of the fetus is obtained. In the case of a healthy fetus, the urine so formed is hypotonic. However, in a diseased condition, the urine obtained is isotonic. Increased level of calcium, sodium, Microglobulin, and chloride indicates possible renal dysplasia.

Ultrasonography: Ultrasonography was the first diagnostic method that helped in identifying hydronephrosis in the fetus. It also helps in identifying the possible cause of accumulation of fluid in the kidney.

Magnetic Resonance Imaging: Magnetic resonance imaging during pregnancy provides more detailed condition and provide important insight into the severity of the disease. Once the severity is identified, optimum medical interventions can be designed.

Other additional procedures: The procedures that can help in diagnosis include amniocentesis, chromosomal analysis, maternal serum biochemistry, and chorionic villus sampling.

What Are The Various Grades Of Antenatal Hydronephrosis?

The grades of antenatal hydronephrosis are determined by the Antero-posterior diameter (APD) of the renal pelvis. The diameter is evaluated through ultrasonography. The grades or classification of antenatal hydronephrosisis done as mild, moderate and severe.

Following are the various grades for antenatal hydronephrosis:

Almost 57–88% of the antenatal hydronephrosis is mild while 10 to 30 % of the cases are of moderate grade. 2–13% of the cases of antenatal hydronephrosis are severe.

Antenatal hydronephrosis is caused due to the following conditions:

Ureteral obstruction or blockage: This obstruction may be either

Ureteropelvic junction obstruction (UPJ) or ureterovesical junction obstruction (UVJ) or megaureter. The UPJ obstruction is indicated when there is a dilation of the pelvic-calyceal system without any ureteral dilation.

Renal anomalies: Generally, only a single ureter drains the urine from a kidney. However, in almost 1 % of the humans, there are two ureters originated from a kidney. This duplication does not cause any complications in the majority of patients. In approximately 1 in 1500 infants, there is an obstruction in the upper tube.

Urethral obstruction: Urethral obstruction in the fetus may also lead to antenatal hydronephrosis.

Vesicoureteral reflux: When there is the backflow of urine from the ureter and bladder towards the kidney, the urine does not flow properly and gets accumulated.

Polycystic Kidney: Due to the complete obstruction of the ureter, one of the kidneys is not normally developed. The other kidney functions normally and the baby usually born with a multicyclic kidney.

If there is a prolonged obstruction of urine and increased pressure, this may cause a progressive reduction in kidney function. Medical interventions may reduce the pressure and allow the kidney to function but may not be able to regain the lost function.

No intervention is required in antennal hydronephrosis due to various reasons such as lack of technology for accurate diagnosis, non-identification of the definite reason for the fluid accumulation, and no strong data corresponding to safety and efficacy of medical/surgical interventions. However, a follow-up is required during the post-natal period in infants with varying degrees of antenatal hydronephrosis.

[drprashantjain1]

Hydronephrosis Treatment In Delhi

Many people have never heard of the term hydronephrosis. That’s because it is only prevalent in around 1% of the general population according to a research paper published by Science Direct. Hydronephrosis can affect both children and adults. In fact, it can even affect babies in the womb; this can be found via prenatal ultrasound. The same study by Science Direct observed that 1 in 100 to 200 fetuses suffered from hydronephrosis. Because of this, finding out that you suffer from hydronephrosis and require surgery might seem daunting. But don’t worry about it. You can find hydronephrosis treatment in Delhi without breaking a sweat!

What exactly is it?

Hydronephrosis is a condition wherein one or both of the kidneys swell up. This happens either because of some blockage in drainage system of urineor urine refluxing back in the kidneys which can eventually damage the kidney of child.

Therefore, it is essential that you consult doctor once hydronephrosis has been diagnosed. Once the diagnosis is made child needs to be evaluated in detail. Not all hydronephrosis requires surgical intervention but needs to be monitored closely to avoid any renal damage.

Signs of Hydronephrosis

Here are some of the most commonly known signs and symptoms of hydronephrosis.

Antenatal diagnosis on ultrasound scan.

Urinary tract infection

Pain and lump in the back and the sides.

Urinary symptoms like frequent urination, crying during urination etc.

These signs are particularly useful to suspect hydronephrosis in children. Infants, in particular, can have failure to thrive. If you have suspicion that your child may be suffering from hydronephrosis or has all the signs mentioned above, it might be a good idea to consult a doctor.

Causes of Hydronephrosis

As mentioned above, hydronephrosis is a condition that prevents urine draining from the kidneys, which causes the kidneys to swell up. Hydronephrosis usually develops because of two main causes:

Obstruction in Urinary System

Blockage in the upper ureter (Pelvi-ureteric Junction) or lower ureter (Uretero-vesical junction) or Bladder oulet (Posterior urethral valve) can cause hydronephrosis on one side or both sides.

One of the commonest cause is blockage at ureteropelvic junction. This is essentially the very point (or junction) where the ureter and kidney meet.

Posterior Urethral valves are seen in boys and usually causes bilateral hydronephrosis. This is treated by endoscopic resection surgery. If not treated timely it can cause significant morbidity.

Vesicoureteral Reflux

Another cause of hydronephrosis is the vesicoureteral reflux where the urine flows backward from the bladder to the kidneys via the ureter. This condition is unique because usually the urine should only flow from the kidneys to the bladder- not the other way around.

Hydronephrosis treatment in Delhi

If you’re looking for hydronephrosis treatment in Delhi, then you’ll be happy to know that there’s plenty of options available. Your doctor who, after examination, ask for a few tests. This may include the following:

Blood test

Urine test

Ultrasound Imaging

Voiding Cystourethrogram

Renal Scan (DTPA or DMSA scan)

Combined, these tests examine your kidneys, bladder, Urethra and checks if they’re working fine. The kind of treatment you’ll receive for hydronephrosis depends strictly on how severe the condition is.

Some of the causes are self-limiting and may need just close observation with regular testings. Hydronephrosis causing recurrent urinary infections or deterioration of renal functions might require surgical intervention.

However, we do not recommend that you go with this approach as it can even lead to your mild case developing into a severe case of hydronephrosis, which will need surgery. Hydronephrosis surgery cost depends solely on how critical the situation is.

However, you should not look at hydronephrosis surgery costs when looking to treat the disease. As we mentioned, it’s not life-threatening at the same time living with hydronephrosis can severely impact your quality of living. So don’t wait it out!

[heidistephanymd]

Hypospadias Specialist

Dr. Stephany is a hydronephrosis specialist and hypospadias specialist with expertise across the field of pediatric urology.

This pediatric urology program is unique. It is Orange County, CA’s sole dedicated center with fellowship-trained pediatric specialists. The team provides diagnosis, ongoing treatment, and surgical intervention for pediatric urology concerns.

Dr. Stephany and her colleagues recognize that the urology care and services needed by a child are different from the needs of an adult patient. The treatments that are provided are specialized and tailored for kids with the ultimate goal of preserving childhood, regardless of the diagnosis.

A wide variety of patients are treated at CHOC Children’s Urology Center, and Dr. Stephany and her team are committed to developing evidence-based management and treatment plans, so that each child’s care plan is customized and individual to that child’s needs.

The team works closely with each child’s parents/legal guardians, along with other specialists, in order to get a detailed perspective of a diagnosis. Our team understands that the child’s family is an important resource in providing complete and thorough care, and by providing comprehensive care under one roof with coordination between the family and multiple specialists helps to simplify the process.

[pharmaceuticals88]

Hydronephrosis Treatment Market Revenue Status and Outlook 2022 to 2029

The Hydronephrosis Treatment Market Market Size At USD  by 2029, exhibiting a CAGR of 6.2% during 2022-2029

Hydronephrosis Treatment Market Overview

The Hydronephrosis Treatment Market report is a comprehensive overview of the market, including a review of its major segments. Alliances are developed after thorough primary and secondary studies. By speaking with industry experts and collecting their data, in-depth market data is produced. The report provides a thorough account of many market factors, including trends, segmentation, growth prospects, chances, difficulties, and competitive analyses.

Get a Sample copy of the report:

List of Key Players Of Hydronephrosis Treatment Market Report:

NephroGenex, PHRAXIS, Allergan, Amgen, Anthem Group, Sanofi, Novartis,

Key Segments Covered in Hydronephrosis Treatment Market

By Type, it is segmented into

Surgical Treatment

Drug Treatment

By Application, it is segmented into

Hospital

Clinic

Ambulatory Surgery Centre

Competitive Landscape

Hydronephrosis Treatment Market are showing an increasing amount of interest in creating unique products. In addition, several companies are collaborating, merging, and acquiring one another. In the upcoming years, all of these initiatives are anticipated to drive the global Hydronephrosis Treatment Market to new heights.

The Hydronephrosis Treatment Market Regional Analysis Covers

– North America: United States, Canada, and Mexico. – South & Central America: Argentina, Chile, and Brazil. – Middle East & Africa: Saudi Arabia, UAE, Turkey, Egypt and South Africa. – Europe: UK, France, Italy, Germany, Spain, and Russia. – Asia-Pacific: India, China, Japan, South Korea, Indonesia, Singapore, and Australia.

Get in Touch with Us: - Phone No.+1 (704) 266-3234

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[campcrow2]

I’ve spent the last….17 years really dealing with chronic illness. And as stupid as it sounds I got my third chance and wish I hadn’t. I got my first transplant at 17. So from 14-17 I was in highschool having a hard time making friends because I missed school so often. Doctors appointments, aeronesp injections every week, additional surgery and dialysis. Preparing for organ transplant with the “you’ll be better after this”. I wasn’t invited to parties or have a lot of friends so I was basically invisible in highschool. Then you go to college and they feed you the bullshit line of “things will get better” but again I dont drink because kidney issues and then I got sick with pneumonia 4 times leading to additional issues. So again I put my head down and did the work I had to to graduate and didn’t make a ton of friends. I got out of university and started a decent job until I got fired for taking a day off to go to the doctor because I had pneumonia again. Leading to 2020 when I got laid off for asking for accommodations to work from home during covid (everyone else was laid off a week later) and I started a new job in Dec/2020. I was laid off Feb/2022 and then rushed into the hospital where my transplanted kidney failed…..I had done what they asked and it still failed. So I started dialysis and did everything they wanted. Got peritonitis 3 times, incredibly sick from low blood pressure where all I did was dialysis, sleep, and repeat. Now last November I got another kidney and I should be thankful because it’s another chance. But after that I had an allergic reaction to the meds causing me to be hospitalized with inflammation for a week, hydronephrosis where the transplanted kidney was swollen, then Covid, and now incredibly depression because I feel alone. 16 years later from my initial work up and I’ve lost all of my friends, and this “third chance” doesn’t even feel worth it anymore. They should have just let me end it in 2022 because this isn’t existing. All I do anymore is bloodwork, sleep, and panic about hospital bills.

This isn’t a post for really anyone I just wanted to write something because I’m over all of this.

What’s the point of all of this?

[radioactiveradley]

PATHOLOGY OF THE URINARY SYSTEM (aka: STUFF WHAT GOES WRONG WITH YER PISS BEANS)

(AND YER PISS TUBES)

(and the pretty pictures I take of them)

[a warning: this post contains radiographic images and non-graphic description of serious kidney pathologies, including paediatric cancer]

Let's kick off with an old familiar friend! Yeah, I'm talking -

UROLITHIASIS (the humble kidney stone!)

Wanna know something horrific? The biggest kidney stone on record weighed over a kilogram. It was 17 cm across. Just. Imagine. Trying to piss that out…

Urolithiases are formed anywhere among your urinary tracts. They’re commonly found in the kidneys, giving rise to the more common term, renal calculi, or kidney stones.

Urolithiasis occurs when compounds within your urine crystallise. If your urine becomes too acidic, too base, contains too many of these compounds for them to remain in solution, or simply… sits around too long without flowing, it literally petrifies into a solid lump!

Some unlucky souls are just… predisposed to developing them. If you have had a kidney stone in the past, you are far more likely to get another one in the future. There also seems to be a genetic link – so if someone in your immediate family gets kidney stones, you have a higher risk.

Kidney stones typically hang out in the pelvis of your kidney and don’t cause an issue. Until you try to piss them out. Remember our kidney diagram (drawn on a conveniently shaped bean)?

You might notice that the ureters are significantly smaller than the renal pelvis. In other words…

Most renal calculi are made of CALCIUM (oxalate, usually). This is very, very good (for us. Less so for you) because calcium attenuates x-rays – meaning, it glows all pretty and shiny when we take a radiograph!

Here’s a kidney stone on an Abdominal X-Ray!

And a twinkly artefact caused by a kidney stone on Ultrasound!

But the best way to assess urolithiases, is, of course, with CT!

For realsies. We don’t need to inject contrast intravenously, because the kidney stones are (typically) shiny – which cuts down on time and worry, as it means you’re at no risk for having an adverse reaction! So a CT KUB (checking Kidneys, Ureters and Bladder for stones) is basically just a quick tumble in the washing machine (CT scanner), with a lovely clear picture as a result!

Look at these babies!! So sharp!!! So clear!!!!!! So shiny!!!!!!!!!!!! That’s a beautiful matching pair of renal calculi right there – and to make things better, they’re (currently) non-obstructive, so this patient isn’t in suffering The Agonies!

Speaking of The Agonies…

Most kidney stones are passable, albeit with extreme pain.

However, some ain’t going anywhere. Especially staghorn calculi, which, um. One, stags have antlers. Two…

more like a fuckin' MOOSE ANTLER amirite????

But yeah, those buggers aren’t coming out. That’s almost definitely going to require surgery!

Smaller calculi can still cause problems when they become obstructive – i.e., they block the passage of your peepee. They can lead to:

HYDRONEPHROSIS (dilation of the renal pelvis due to retained urine, seen here in the Left kidney [right side of image])

HYDROURETER (dilation of the ureter)

So, what do we do with bothersome calculi? How about some...

EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY (ECSWL, because we love a sexy little acronym here in medworld).

We blast the stone apart with shockwaves, from outside your body! Ultrasound turned up to 11! Unfortunately, it only works on certain densities of stone, and on small stones.

LASER LITHOTRIPSY

(same thing but…. ZIP ZAP LASERZZZZZ]

SURGERY – PERCUTANEOUS NEPHROLITHOTOMY (PCNL).

(I totally haven’t added to this diagram in any way. This is how it works. Trust me.)

LOADS of other stuff can go wrong with The Ol’ Piss Beans

We have:

RENAL CELL CARCINOMA

The most common form of kidney cancer.

For suspected malignancies, we do a CT Urogram that assesses the whole urinary tract. This takes significantly longer than a KUB, but is well worth the results. This is a three-phase scan. We do...

A regular KUB non-contrast scan to check for calculi and to get our baseline Hounsfield Units ('grayness' and densities) for the kidneys. Then we inject contrast in a 'split bolus' - one load immediately, and another roughly 8 minutes in, scanning roughly a minute after the second injection is given. We scan 80 secs after the first contrast bolus is administrered, for the 'nephographic' phase, which enhances the renal cortex & medulla, and makes neoplastic changes and renal masses obvious (see image above). Then we wait 10-ish minutes and scan for the 'excretory' phase, after the contrast has worked its way through your kidneys, to detect 'filling defects' (anything that stops contrast opacification of the ureters) and pathologies related to the urinary collection system.

NEPHROBLASTOMA

This is one of the more common cancers found in kids. Although paediatric cancer is never exactly a happy topic, this cancer is now curable in roughly 90% of cases, thanks to the early removal of kidneys and the possibility of transplants.

Autosomal Dominant (and Recessive) Polycystic Kidney Disease

An inherited renal disease that can cause you to go into End Stage Renal Failure due to the healthy tissue in your kidneys becoming completely overtaken by cysts. As a result, your kidneys can grow more and more, until they practically fill your whole abdomen. 45% of patients will be in ESRF and need dialysis by the age of 60. Thankfully, transplants are an option.

Other commonly encounutered renal pathologies include trauma, which I talked about in my first kidney ramble (linked here!), infections, and more.

I hope you enjoyed this whistle-stop tour of Stuff That Can Go Wrong With The Kidney, And How We Look At Them Gnarly Beans!

....And, um, I spent way too long making this and now need to pee. This is your reminder to go empty that bladder if you need to! Stop those stones!

[dollsonmain]

hahahaha

IMPRESSION: There was moderate hydronephrosis in both kidneys, which completely resolved after emptying the bladder

I had to pee SO bad....

Anyway, this is a good result.

[contentment-of-cats]

Some good medical news

Left kidney is back to normal size. No sign of hydronephrosis. Resection is fully healed. Next visit is in three months. If everything is still holding, another three months and so on until my fourth visit. After that, visit twice per year.