i am 37 year old male have creatinine 1.8, was diagosed with left sided hydronephrosis, congenital, robotic pyeloplsty done 3 months back has bilaterally increased renal cortical echotexture pre operative as well as 3 months post operative.please suggest what to do.
HelloThanks for query. You had undergone surgery of Pyeloplasty on left side for congenital PUB obstruction. Your recent creatinine levels have raised to 1.8 (Normal value being 1.2). Raised creatinine level with bilateral increased echogenicity of cortex suggest Chronic Renal Parenchymal disease. Please consult qualified Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture2) Renal function tests 3) 24 hours excretion of proteins in urine.4) Renal Biopsy (If required)Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. 