My 8 years old daughter was diagnosed with complete double collecting system left kidney with dilatation of the pelvis and the ureter both the upper and the lower pole moieties, more pronounced in the lower moiety. The upper pole ureter inserts into the urinary bladder literally and superiorly, than the lower pole ureter which inserts medially and more inferiorly.What is the treatment of this?
Unless there are problems such as infection, it is not treated. My cousin gave me a similar kidney 10 years ago. It has a dual collecting system and 2 ureters. It is working fine in me. I know that as a child she had some problems with infection, but that went away. If there is reflux, then I believe that sometimes surgery is warranted to alter the hook ups. But again, not unless there are significant problems. Does your daughter have any issues related to this or was it found by accident?
Thank you for the reply she always have the recurrent u.t.i since she was a baby, until she reached 3 years old we decided to bring her in pedia-nephrologist.she undergo series of workups related to her condition,the VCUG showed no reflux, the renal cortex scintigraphy showed that there is no renal scarring. but everytime she undergo KUB ultra sound, the results shows that there is still urine left in the urinary bladder , her left kidney is dilated, then a few months ago when she undergo MRI ,the results was complete double collecting system left kidney with pelvocaliectasia and ureterectasia in the upper and lower pole.she have 2 ureter in her left kidney.Sometimes she have a pus discharge in her underwear and she will tell me that her legs are painful.Is the pus discharge is also related to her condition?
The discharge could be due to infection from the collecting urine. Sorry, but I only know a small amount about this due to my cousin. If she has recurrent uti problems they may want to change the ureter connections to help somewhat. Sorry I can't be more help.