What is the treatment for mild bilateral pelviectasis?
Patient: I am a 67 year old female a history of multiple UTI s with hematuria. Ultrasound showed mild bilateral pelviectasis without frank hydronephrosis. The right kidney measures 10.1CM renal pelvis measures 8mm. The left kidney measures 10.5CM renal pelvis is mildly prominent measuring 10mm. Three subcentimeter cysts are present, two of which are parapelvic in location. Is this the cause of UTI s? Doctor: Hi,Thanks for writing in to us.The kidneys as mentioned above are normal in size. The renal pelvis is the area where the upper end of ureter, tube connecting kidney and urinary bladder starts. In the absence of stones or any infection of kidneys it is unlikely that the prominent renal pelvis is a matter of concern. It is mildly prominent and clearly mentioned no hyronephrosis. It is still possible that an infection can move from urinary bladder to kidneys and cause prominence of the kidney pelvis on both sides. This can be confirmed only if there is significant bacterial growth in your urine and if the bladder is also showing signs of infection and cystitis on ultrasound scan. The cysts are very small and will not cause any problems in your case.