I am 24 years old. Last month I got to know that I don't have my right kidney and left one has a swelling. But I don't feel any problem with myself and I am fit. My GFR reading is 94ml/min. Doing pyeloplasty operation at this point of time is necessary or I can avoid for now? I was about to join my 1st ship in merchant navy when I got to know this. Please help.

Dr. Raguram GanesamoniUrologist12yrs exp

92% (196 ratings)

Ask Free Question

Hi, your gfr is very good for a single kidney. Did you have any pain or urine infection? if you can share the ultrasound report, I will be in a better position to guide you. Otherwise, since the ultrasound shows hydronephrosis, next step is to get a dtpa scan (with f-15 protocol) done. It is done in nuclear imaging centers. It will show whether the swelling is really dangerous to kidney or not. If dtpa scan show obstruction, then its better to undergo pyeloplasty. Since you are asymptomatic with good gfr, I feel that your dtpa will be normal and you may not need pyeloplasty. However, since you have a single kidney with swelling further evaluation in the form of dtpa scan is a must. Wish you good health, 

2 person found this helpful