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Kidney Diseases

Nephrectomy of non-functioning kidney?

05/01/2006

Question:

Through a visit to my doctor for sacral pain a hematuria was seen in my urine and through ultrasound and CT scans I have recently found out that my right kidney has hydronephrosis and no kidney stones. My doctor gave me antibiotics for the hematuria and a month later at my urologists office my urine looked fine with no sign of hematuria. A renal exam showed that my right kidney was functioning at about 12%(my urologist & radiologist didn`t think it looked like it was doing that). He said it was probably from a UPJ obstruction and was not reversible. He said there is no telling how long it has not been functioning. I am 41 years old and would like to know your recommendation on whether to have the kidney removed or leave it in and monitor it?

Answer:

As long as it is not causing pain, recurrent infection, or blood loss resulting in anemia, there is no reason to remove it.

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Response by:

Thomas   Zipp, MD Thomas Zipp, MD
Assistant Professor of Medicine
School of Medicine
Case Western Reserve University