Question of the Week

Question :
Posted On : 09 Dec 2021
When should we go for MCU in a baby with bilateral hydronephrosis with bilateral hydroureter and what is the best time for surgery in PUV and bilateral VUR?
5
Expert Answer :
Is MCU the same as a void cystourethrogram? If this is so, our Unit does this around 6 weeks. Regarding repair, if there is a significant obstruction on a MAG3 scan done at around 6 weeks to 3 months, we aim for surgical repair at the time.
Answer Discussion :
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?????? ?????????
Profile
As there is a good chance to reduce VUR spontaneously within the first few months, I would wait until the baby is around 1 year old. With conservative treatment and tight monitoring of renal function every three months including US and laboratory investigations.
11 months ago
D
Dr mohamed
Profile
No actual time, once the baby become stable , surgery can be done.. however If scarring is bilateral and severe, progressive chronic kidney disease may develop. Progressive scarring needs an assessment of the bladder and may be an indication for surgical intervention.
11 months ago
J
Joeleen Naidoo
Profile
Immediately
11 months ago
A
Anita Manoj
Profile
as early as possible
11 months ago
V
Venkata Subramanian
Profile
MCU-Within a day after birth.Surgery as soon as the diagnosis is confirmed by MCI
11 months ago




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