My son 11 years old has bilateral hydro utero nephrosis (moderate dilation of pelivcalceal system and ureter is noted with mild urothelial thickening) and also has cystitis, with bladder wall thickening of 5.6 mm. He spotted blood drops at the end of urination. Bun/creatinine normal. Doctor gave antibiotic and all bacterial and uti symptoms are cleared, took mcug and report is normal. He also has constipation, both usg and ct reported fecal loaded large bowel loops. He is on continuous anti-biotic bactrim at night, suggested to do usg after 4 weeks. He had gross hematuria 2 years ago, that got cleared after 8 days course of sporidex and citralka. Now, my doubts are: 1) why he is getting repeated uti? 2) can anti-biotic alone cure hydro-utero nephrosis? Don't know if hydro nephrosis is due to current cystitis or previous uti 2 years ago. 3) is this treatable or not. Very much worried.

Dr. Anshuman SahuGeneral Physician3yrs exp

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1) most common cause of repeated uti is a bad valve but mcug has ruled that out the next common cause could be residual infections and also ureteric stones and strictures predisposes to urinary tract infection. I would like to see all the reports of your child. To really be able to answer you something concrete. 2) hydroureteronephrosis is dilation of ureter and kidney caused due to a obstruction most common cause of it is renal stones. Other cause include healing scars which block the tube. 3) it depends on the extent of disease. Everything is treatable it only depends on cost as to how complicated is the case. If medicines are not working surgery is an option.  

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1) he previously had uti 2 years back. So it can be stated as repeated. You need to note down when does he get uti again. N thn follow up examintaion. At present if bilateral hydronephrosis is cleared. Not to worry continue with the treatmnt 2) antibitiotic can cure hydronephrosis if its due to cystitis/infection and at present it seems due to cystits and others causes are ruled out as you have done ct and mcug 3) yes of course. Find the cause and treat it. Does he has any complain now?  

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