Patient's question:
Patient Information: Male, 0 years old, ShanghaiCondition Description (onset time, main symptoms, etc.): The male infant was born at 33 days of gestation. During the fetal period, there was a phenomenon of pelviectasis in the right kidney. At that time, the doctor said there was no major problem, and after the child urinated, it was fine. However, today's examination results seem very serious, and the doctor is unsure whether surgery is necessary. Below is the test report. Please seek expert advice for interpretation.
Left kidney: 4.6×1.6 cm, Right kidney: 5.2×2.1 cm
The left kidney measurement is smaller, the right kidney size and shape are normal, both kidneys have clear contours, intact capsules, and uniform parenchymal echoes. The left kidney's collecting system is separated by approximately 0.6 cm, and the right kidney's collecting system is separated by approximately 0.5
Doctor's answer:
Generally, an IVP (intravenous pyelography), CTU, or MRU may be required. However, the preferred option is MRU (magnetic resonance urography), as this imaging method is radiation-free and non-invasive.For pediatric cases, the condition may be functional or caused by certain pathologies. Only by identifying the underlying cause can targeted treatment be administered; otherwise, the treatment would be (aimless).
It is best to consult a urology department in a Class III-A hospital or a pediatric urology department for examination to first confirm the diagnosis.