musing over what the urologist told me

  1. I have a stricture of the left ureter. I have had two IVPs and a cysto with retro pylo. The urologist thinks it might be just slightly worse than it was a few months ago. He was up in the air about whether to just continue to watch it or send me to this other doctor. He let me decide what to do. It seems to be that the sensible thing to do is get the second opinion. This other doctor is a nephrologist that specializes in percutaneous treatment of obstructions. What do you guys think?
    •  
  2. 17 Comments

  3. by   oramar
    PS I should mention that I have had blood work frequently since this was discovered and everything remains normal. Also my symptoms are mild, yes I get a ache in that left kidney and I am very prone to UTIs. This is why the doctor hesitates to take drastic action. Surgery could send me from mild problems to serious problems.
  4. by   live4today
    It always pays to get a second opinion when a patient is dealing with something that potentially dangerous or serious. Hope things turn out okay for you.
  5. by   prn nurse
    Did he say what caused the stricture? Is it congenital? Something that presented itself in the past year? Did they show you the films? Did he say by what percentage the stricture obstructs flow? I wouldn't want to risk ruining a perfectly good kidney by allowing the urine to accumulate in the kidney . It will get boggy and go bad. Can they just put a stent in? Do you need a biopsy ? I would go for more diagnostic tests and specialist opinion and follow his advice.
  6. by   prn nurse
    Isn't Pittsburghs' Presby supposed to be one of the top renal hospitals in the country? I read an article about it a few years back. I think it was Presby. When you're down the street from a forefront hospital, what's to worry? If you were in Nevada, or Mississippi , or Arkansas, or Wyoming, you'd need sympathy......
  7. by   oramar
    I have looked at the films myself. The stricture has gotten worse since last IVP, don't know the percentage. First discovered less than year ago. Wasn't too bad then. Even during the retro/pylo this urologist was unable to tell what could be causing it. I have radiology report right here in front of me and the radiologist is stumped as to the cause. It is highly unlikely that it is related to stone because I have had little or no pain. Could be congenital but congenital would not be getting worse. No doubt if they do anything invasive they will biopsy and get the low down. This new doctor I am going to does stents and percutaneous dilations. PS kidney is normal size with some hydronephrosis but not a lot.
  8. by   oramar
    Yeah, you are right PRN, that is exactly where I am going. Isn't Presby a term only us locals use?
    Last edit by oramar on Jun 18, '02
  9. by   Fgr8Out
    [QUOTE]Originally posted by prn nurse
    [B]Isn't Pittsburghs' Presby supposed to be one of the top renal hospitals in the country? I read an article about it a few years back. I think it was Presby. When you're down the street from a forefront hospital, what's to worry? If you were in Nevada, or Mississippi , or Arkansas, or Wyoming, you'd need sympathy......

    Since I'm employed in Reno NEVADA, I take exception to this. We offer excellent trauma service and I would trust ANY of the Urologists or Nephrologists here with my life. Our Hospitals (YES!! We have more than ONE) are high tech and offer GREAT service. We have multiple floors, RUNNING WATER (including flush toilets)... We are in the midst of building an entire Neuroscience Hospital for stroke patients and rehab. And while I've never had the opportunity to visit the hospitals in Arkansas... from what I saw on several visits there, quality healthcare is also available.

    You may be on the "right coast" but your thinking is definitely wrong....
  10. by   NRSKarenRN
    Oramar:

    Stents and percutaneous dilations--one of these should do the trick. Don't want a back-up of urine due to stricture. Get second opinion. Stent helped husbands stricure ---due to kidney stone. It was in for just two months---that was 4 years ago.
  11. by   oramar
    It is any wonder that I have not been feeling up to par for the past two years. Asthma, gall bladder disease and this urology problem have been draging me down. Anyone of them by themselves is not too bad but add them all together and a person does not feel to well. Well I have been tackling them one by one because it is the only way to do it.
  12. by   mattsmom81
    Good luck, Oramar...I can relate to having multiple health concerns...seems like they 'tackle US all at once'.

    But you're right...we have to tackle THEM one at a time... Hope you feel better soon!
  13. by   Fgr8Out
    {{{{Oramar}}}} sorry about my earlier post, I don't want to detract from your situation. I offer prayers for a resolution to your health issues and a quick recovery.
    Last edit by Fgr8Out on Jun 19, '02
  14. by   prn nurse
    Figure8Out.................it's a joke. Although I did drive across Nevada once. About 4 years ago....500 miles of death valley it seemed like,... and I do love the desert. Still........................

    Ya gotta read the top ten list , and actually see /work in one of the top ten or top twenty hospitals in the country to understand La Difference. They are as different from our local, although very good, hospitals as day is from night.

    Oramar, I know "Presby", cause my sister lives in Pittsburgh. Her husband got a kidney transplant there in 1986 and a kidney and pancreas in 1996. Wonderful...perfect place. And I was working in an ICU in California the first time I read an article about it being in the top 5 hospitals in the country for anything renal. That was in 1993.

    Ya gotta take care of your kidneys, cause all the ICU docs tell us that in your/ our old age, males and females, it is the kidneys that go first. Everyone thinks it is hearts, cause of statistics I guess, but the docs say the kidneys are much more delicate than hearts. And in old animals, the kidneys fail and that's what brings death. And they say, the same applies to old humans...so, take care of 'em before any damage is done. I wish you luck.

close