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kink in ureter

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painful marie

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Location: manchester, england
kink in ureter
Posted: 07-21-08 10:45am

I've just returned from having a scan and the radioligist said that she saw a kink in my ureter. i had the scan because for years i have suffered constant kidney infections (i take antibiotics every day to fend them off but often they break through and i end up hospitalized for iv antibiotics and pain relief). the kink presented only on the right side and the radioligist seemed to think that the kink wasn't that severe.
the surgeon i have been seeing for years doesn't seem to know what the problem is. my symptoms are not only the kidney infections but when i lie down i need to urinate very frequently (this doesn't occur when i'm standing) some nights i need to pass urine up to 60 times a night and at the very least on a good night i'll go just 15 or so times.
i'm having an mri scan soon but at least feel finally relieved that they have found some problem that can hopefully be rectified.
is there any one out there that has similar problems or anyone who could shed some light on to mine. i'm feeling totally frustrated and confused!
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^Serenity^

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UPJ or UVJ
Posted: 07-22-08 11:04am

Hi

It sounds like you have UPJ or UVJ.
http: //www.nlm.nih.gov/medlineplus/ency/article /001267.htm

UPJ is a kink near the kidney...UVJ is a kink near the bladder.

This occurs a lot in children but adults have it as well. many are born with it and it goes unnoticed until a scan is performed for another symptom.

Hope this helps.
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painful marie

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Joined: 21 Jul 2008
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Location: manchester, england
UPJ or UVJ
Posted: 07-23-08 12:31pm

thanks for that reply! have you or anyone got any idea how it can be rectified?
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^Serenity^

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Re: UPJ or UVJ
Posted: 07-23-08 13:29pm

painful marie wrote:
thanks for that reply! have you or anyone got any idea how it can be rectified?


Depending on the degree of the kink, unfortunately the only way to fix it is surgery. If it is obstructing your kidney to the point that you are in pain or have hydronephrosis.
Some doctors will not do anything until it becomes moderate to severe or severe.

Feel free to pm me...I've been through this more than once.

All the best... rainbow
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painful marie

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Joined: 21 Jul 2008
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Location: manchester, england
UPJ or UVJ
Posted: 07-25-08 07:05am

thanks you've helped a lot! i've been in pain with this condition for over 20 years now. i feel so fed up to think a simple scan could have diagnosed things years ago especially as the kidney infections have hospitalized me on many occassions. many years ago i even lost 9 pregnancies because the infections used to get so severe they'd cause misscarriages.
at present the pain is with me all the time and i have a general feeling of being weak and unwell. my surgeon until now has just scratched his head and hasn't known what to do so quite honestly i wouldn't care if they ripped it out with hteir bear hands as long as i eventually experience some relief.
what worries me though is that the radiologist said she she the kink and some dialation in my right kidney but in her opinion those things shouldn't cause the problems i have??? my last stay in hospital was last month for 6 days where i was on morphine so the symptoms are fairly unpleasant and the pain when in full flow excrutiating!!
next stop an mri scan which i suppose will make the picture even clearer.
do you or have you suffered from a similair thing and how was your treatment plan?
i'e got a feeling that in terms of kidneys the doctors are just guessing their diagnosis half the time in the hope that it'll go away eventually!!!
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^Serenity^

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Posted: 07-25-08 08:08am

I had surgery to correct mine. Do you see a urologist? If not you should think about seeing one as they are the ones who will determine the degree of the kink.
Another test they run is a lasix renal scan to check the flow of the kidneys.
I hope you feel better soon..Smile
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painful marie

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Joined: 21 Jul 2008
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Location: manchester, england

Posted: 07-26-08 11:28am

yes i've been seeing a urologist for some years now and he's done numerous tests but had never done the scan before (unbelievable!) although i had the one when they put the dye in you many years ago. is the operation quite a big one or a simple procedure?
as i posted before i'm having an mri scan soon so that should show things up a bit clearer!
thanks for all your support so far it's been a real help!!
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^Serenity^

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Posted: 07-27-08 11:00am

The surgery depends on the degree of the obstruction. There's a newer procedure called endoplyotmy, it's preferred for first time surgery on UPJ obstructions. This is a laser type procedure versus an open repair with an incision on your side about 5-6 inches long.
My last operation was over six hours. Don't let that scare you, everyone is different. I also have a kidney disease so it made things a bit more complicated for me.

Please keep me posted and feel free to pm me anytime.
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aflsh

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Posted: 07-28-08 21:55pm

I had UPJ obstruction on my left kidney. As serenity says, everyone is different. I had a pyloplasty which is plastic surgery on your kidney. I went to a urologist who was able to diagnose it with a renal scan and cystoscopy. If you have any questions please ask. I wish you good luck with your MRI.
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