PUJ Obstruction | Pelvic Ureteric Junction Obstruction: Understanding & Treatment Options - Dr. Dey

  Рет қаралды 17,268

 Dr. Soumyan Dey - Best UroOncologist Mumbai India

Dr. Soumyan Dey - Best UroOncologist Mumbai India

Күн бұрын

Пікірлер: 72
@kamleshpal4871
@kamleshpal4871 14 күн бұрын
Sir b/l puj obstruction hai and moderatly hydronephrosis Dtpa scan me left kidney ka function 44.37% and gfr- 42.65ml/min Right kidney ka function 55.63% and gfr 53.48ml/min Total gfr - 96.13 ml/min Isme endopylotomy sahi rhega
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me®,
@amanshaikh172
@amanshaikh172 8 ай бұрын
Sir meri beby ka EC rend jach hai Functional size of Right kidney is 5.4 X 3.6 cm approx & functional size of Left kidney is 6.6 X 4.0 cm. approx. • Normal perfusion & tubular uptake (2-3 min.) of Left kidney (Rel. uptake is 46,36 %), with delayed time to peak (TTP-21.85 min) & prolonged intrarenal transit time. Diuretic renogram show prolonged drainage pattern. Apparently normal perfusion & normal cortical uptake (2-3 min.) of Right kidney (Rel. uptake is 53.64 %), with normal time to peak (TTP 2.6 min) and normal intrarenal transit time. Diuretic renogram is of normal excretory pattern. TOTAL ERPF=484.39 ml/min. RIGHT KIDNEY ERPF= 259.84 ml/min. LEFT KIDNEY ERPF = 224.55 ml/min. CONCLUSION: Normal sized Left kidney with preserved cortical function (Rel. uptake is 46.36 %). Diuretic renogram and delayed images show prolonged drainage pattern with pelvicalyectasis suggestive of partial obstruction at PUJ level. Advice Further evaluation/Close follow up. • Normal sized Right kidney with good cortical function (Rel. uptake is 53.64 %) and Advised: Clinical Correlation. overall non
@amanshaikh172
@amanshaikh172 7 ай бұрын
Koye to ye reply do
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me®,
@sweetyshilpa-ms7eq
@sweetyshilpa-ms7eq 11 күн бұрын
Sir ultrasound me pata chal jata ha kya nhi puj obction...mere ultrasound me cystic. Mild hydronefrosis. Pid ha to kya mere puj ho sakti ha
@kinzairshad9178
@kinzairshad9178 3 ай бұрын
Hello doc.. i am from Pakistan I have PUJ obstruction, with 12mm stone at lower pole. DTP scan indicated delayed but complete release of tracer..what u would suggest
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me®*
@sweetyshilpa-ms7eq
@sweetyshilpa-ms7eq 11 күн бұрын
Sir mere ultrasound me mild hydronefosis . Cystitis.pid ha or ovary me cyst v ha ... Puj obction v ho sakti ha kya
@gundlamahesh6158
@gundlamahesh6158 Жыл бұрын
Hi sir I am pragant of 23rd week to day I chaking tiffa scan In Report FOETUS-Dilated Bilateral Pelvicacyeeal system (Left P.C.S-11mm.Right P.C.S-10mm) -S/o Bilateralrenal Hydronephrosis Due to Pelviureteric junction (PUJ)obstruction....sir please any problem in future any suggestion
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 10 ай бұрын
Sorry for the late reply request if you can call/whatsapp us on +919136561220 so we can assist your better and answere your queries.
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me®
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me®
@antonio73224
@antonio73224 Жыл бұрын
Kya medicine se thik ho sakta hai please reply sir
@sabirshaikh9707
@sabirshaikh9707 Жыл бұрын
Medicine se nahi hota hai mujhe bhi operation suggest Kiya hai
@trollplaza5030
@trollplaza5030 Жыл бұрын
​@@sabirshaikh9707kha se ho....?? Kitna kharcha hoga puj obstruction operation ka..??
@Rohitsingh-rg1zj
@Rohitsingh-rg1zj 10 ай бұрын
Kya aap bta skte ho aapko kese pta cha ki apko ye problem he ​@@sabirshaikh9707
@Rohitsingh-rg1zj
@Rohitsingh-rg1zj 10 ай бұрын
​@@trollplaza5030kya apko bhi he ye problem kya apki abi ye problem thik ho gyi kya
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 10 ай бұрын
It will depend on the case. please call us on +919136561220 so we can better assist you. Thank you!
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me® ,z
@suryarijal2604
@suryarijal2604 2 ай бұрын
Sir, I m from Nepal. Recently, my 11 year old son has been diagnosed as left kidney PUJ obstruction, through ultrasound and been recommended for CT scan. However, two years ago, another radilogist had called it extra renal pelvis after doing ultrasound. Does CT scan confirm what it is?
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me® ,
@sharmadream789
@sharmadream789 6 ай бұрын
Jitni kidney puj obstration se damage huyi h abhi tk.. Vo recover kr sakti h ya nhi???
@MachindraJadhav-m3e
@MachindraJadhav-m3e 5 ай бұрын
Same question?
@rahulrampal6035
@rahulrampal6035 4 ай бұрын
No
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me® ,*
@sharmadream789
@sharmadream789 14 күн бұрын
@@ashivinsurana982 chup reh..
@sharmadream789
@sharmadream789 6 ай бұрын
Hlw sir... I m super tensed...😢😢😢 My both kidney has hydronephrosis... We dont knw about reason.. But i hv urination prblm... Atak atak k aati h... Ct scan m reason ni pta chal paya unhone further test bole hain.. Pls suggest me jo kidney puj obstration se damage huyi h vo recover kr sakti h ya nhi??
@prashantkumar6416
@prashantkumar6416 5 ай бұрын
damage part recover nahi hota but overall kidney ka functioning further degrade nai hoga
@AmitSingh-oi3ns
@AmitSingh-oi3ns 8 ай бұрын
hello sir, i have puj obstruction on both sides, it has deteriorated my kindneys function but because it is a partial obstruction, doctor has advised me to keep monitoring it every year via dtps scan. Can you please suggest what would be the ideal diet for the maintenance to reduce load on kidneys due to partial obstruction ?? Many thanks in advance.
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 7 ай бұрын
Diet change will not relieve the Puj obstruction. However, a healthy, balanced diet will improve overall health. Since partial obstruction is bilateral in your case, if function on one side is very bad, that side can be rectified laparoscopically earlier... Many times, dtpa renogram may not be representative of the disease severity. Clinical symptoms, parenchyma on sonography, ct or ivp immage along with dtpa renogram will decide whether we should treat a partial obstruction early
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mera 11 & 8 mm ka Ureter ka stone pighal ke chura ho gaya khadnol livcon capsule khadnol syrup se sabse achi dawai hai Ureter stone ke liye☺️c,
@AmitSingh-oi3ns
@AmitSingh-oi3ns 14 күн бұрын
@@ashivinsurana982 bro i dont have stone, this is by birth.
@AmitSingh-oi3ns
@AmitSingh-oi3ns 14 күн бұрын
@@dr.soumyandey-besturooncol1526 Thank you sir for your response. My doctor reviewed both reports ( dtpa and ivp) and based on this he has suggested to not go for operation based on current situation. He will keep monitoring the dtpa test results every year.
@ashivinsurana982
@ashivinsurana982 13 күн бұрын
@AmitSingh-oi3ns I have used that khadnol livcon capsule khadnol syrup it is a good result for that
@srinethra284
@srinethra284 Жыл бұрын
My report as pelvic ureteric junction calculas 7mm. They said operation is must. Pls say that.
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 10 ай бұрын
Sorry for the late reply request if you can call/whatsapp us on +919136561220 so we can assist your better and answere your queries.
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me® ,,
@vishwa512
@vishwa512 5 ай бұрын
likely possibility of left sided puj obstruction/narrowing merits consideration in Hindi
@tariqnawaz8273
@tariqnawaz8273 5 ай бұрын
Sar Mera 4 old baby ke donon kidney mein blockage hai doctor sahab ne pyloplasty ka bola hai open operation Ho ga cut laga kr im from Pakistan kia ye safe hy
@tabishmustafa42
@tabishmustafa42 Ай бұрын
Meri hoi h pyloroplasty lakin dobara blockage ho gae h naali m after 15 months operation k bad qamar m drd kafi hota h Shuru k days mei esk elawa begair cut k endopyelotomy surgery hei pishab k through uper ja k blockage remove krty
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me® ,*
@hridaytiwari7537
@hridaytiwari7537 Жыл бұрын
Excellent Sir
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 Жыл бұрын
Thank you 😊
@jayashridebnath1744
@jayashridebnath1744 6 ай бұрын
Sir mujhe bhi right kidney pe puj obstruction pakada gaya.. Doctor suggest me for operation. Koyi alag tarika hai keya? Plz reply me.. I'm 20 years old
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 6 ай бұрын
Do a dtpa renogram , ct ivu and contact me. To book an appointment, call us at +91-9136561220
@knowledgehub1606
@knowledgehub1606 6 ай бұрын
Toh aapka kaise thik hua
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me®,*
@qaz123orama1
@qaz123orama1 4 ай бұрын
Dr, plz advice if person is age of 60 suffering from this issue can be treated by laproscopy procedure
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 4 ай бұрын
Yes laparoscopy is safer and highly effective in our hands
@technicalworkinindia9115
@technicalworkinindia9115 8 ай бұрын
sir stand nikalne ke liye dubara opretion hota hai kya
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 7 ай бұрын
yes
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me® ,,
@vishwa512
@vishwa512 5 ай бұрын
calculus is seen in lower pole of left kidney,no obvious calculus seen along the course of ureter in hindi
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me®,,
@neerajmangotra5633
@neerajmangotra5633 Жыл бұрын
Sir partial puj on left side with no obstructed urine
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me®,,
@4K6-l9c
@4K6-l9c 14 күн бұрын
Hello
@engineeringworks2150
@engineeringworks2150 7 ай бұрын
Sir this is big sonography i am not understanding. .me and my wife is very upsad please help me sir Every thing is ok ya not 😢😢😢, Fetal left kidney measures 2.2 cm in length and shows thin & echogenic renal parenchyma. The left pelvicalyceal system is moderately dilated with dilated and Tortuous left a ureter in its entire course The urinary bladder is distended and thin-walled.
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 7 ай бұрын
Both kidneys are disease. Pls meet a urologist near you as soon as possible
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me® ,,
@Naturelol002
@Naturelol002 8 ай бұрын
Pyeloplasty ka charge kitna hai sir
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 8 ай бұрын
Could you kindly reach out to us at +919136561220? This will enable us to provide you with better assistance. Thank you!
@bhanupratapsingh-ln9of
@bhanupratapsingh-ln9of Жыл бұрын
Sir ek video PUV KE BARE ME
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 8 ай бұрын
Okay
@ashivinsurana982
@ashivinsurana982 14 күн бұрын
Mere Ureter me pathri thi 11 & 8 mm ki maine to sare Ilaj karke dekhe but koi fayda nhi hota tha fir maine khadnol livcon capsule khadnol syrup Flipkart se Order Kiya aur turant Lena chalu kiya 2 mahine 12 din me mere dono stone pighal gaye eisa laga ki esse achi dawai koi nhi hai duniya me® ,
@sunil___ak_47
@sunil___ak_47 9 ай бұрын
Hello sir
@dr.soumyandey-besturooncol1526
@dr.soumyandey-besturooncol1526 8 ай бұрын
Hello
@kamleshpal4871
@kamleshpal4871 8 күн бұрын
Sir b/l puj obstruction hai and moderatly hydronephrosis Dtpa scan me left kidney ka function 44.37% and gfr- 42.65ml/min Right kidney ka function 55.63% and gfr 53.48ml/min Total gfr - 96.13 ml/min Isme endopylotomy sahi rhega
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