WOMENS-HEALTH Messages for January, 2002: Re: Third kidney-possible problem?

Re: Third kidney-possible problem?

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 23 Jan 2002 10:23:41 -0600 (CST)

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In reply to: anonymous@obgyn.net: "Third kidney-possible problem?"

At Tue, 22 Jan 2002, anonymous@obgyn.net wrote: >
>I have been diagnosed with a duplicated left system (a third kidney)
>with a separate diluted ureter. After a cystoscopy my urologist found
>that the urethra of my third kidney goes into the bladder right above
>the bladder neck. He could not check if it there is either obstruction
>or reflux. (He will do a cystogram soon.) I am 27 years old and
>planning to have children in the near future.
>
>As a child, I have had several UTI’s (until I was 4 years old), but I
>was never told about this. I did have a couple of UTI afterwards and a
>kidney infection three months ago.
>
>My questions:
>
>1. Could my current condition cause problems during pregnancy and
>delivery?

All pregnant women have more problems with UTIs and you are going to be particularly vulnerable.

>2. My urologist suggested hand-assisted laparoscopy to remove the third
>collecting system, which involves an incision of 3-4 inches long. Is
>this the normal procedure for this kind of surgery? Are there better
>methods?

This is better than the open proceedure which would leave a bigger scar, but it is dependent on your urologist have special skills.

>3. How much is the probability that my other organs will get hurt
>during such a surgery? (After all, my primary concern is to have a safe
>pregnancy and healthy baby)

Very small risk.

>4. If I did this surgery, how long would I have to wait before getting
>pregnant?

Until surgical healing was complete and the results proven to be what was needed, say 2-3 months.

>
>I am in a good health, and this came on me from the blue sky. It is
>hard to go from making babies to getting a surgery. :)
>
>Thank you for any of your answers,
>E.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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