Problem description:

I looked up a lot. What is a duplicate kidney? Is it congenital malformation, two kidneys in one? If so, does it mean that there is only one kidney? What effect does it have on fertility? Now 0.5M stone is found with hydronephrosis.

Urgent! ! I'm going to register for marriage next week.

thank you

Analysis:

This disease is a common congenital malformation of kidney and ureter. The incidence rate is about 1500: 1, and unilateral deformity is 6 times more than bilateral deformity. Duplicate kidney and additional kidney are completely different concepts. Most duplicate kidneys can't be separated, and the additional kidney is a completely independent third kidney. Duplicate kidney and ureter often exist at the same time and are divided into two types: complete and incomplete. In women, urinary incontinence can occur if the ureteral orifice is not in the bladder. In addition, duplication of kidney and ureter can easily cause urinary tract infection. If the disease has complications, it should be treated surgically before it can be completely cured. Clinical manifestations 1. If there is no ureteral orifice and complications, it is often asymptomatic. 2. If female patients have normal urination and urinary incontinence symptoms, the examination can often detect ectopic ureteral orifice. 3. Complicating infection may cause low back pain and urinary tract infection. Diagnostic basis 1. Whether there are symptoms of urinary tract infection or urinary incontinence. 2. Intravenous urography or retrograde pyelography can find the repeated malformations of kidney and ureter and be diagnosed. 3. Cystoscopy can find ectopic ureteral orifice. 4.CT or MRI showed renal and ureteral malformations. Treatment principle 1. No complications or symptoms need to be treated. 2. Ureteral opening is ectopic and there is urinary incontinence. If the renal function is still good, ureter and bladder replantation should be done. 3. If repeated kidney is complicated with stones, tuberculosis or hydronephrosis, and renal function is damaged, different surgical treatments should be taken according to the etiology, functions and pathological changes of various parts of repeated kidney. The principle of medication is mainly to prevent and control infection, so you can choose "A" and "B"; If the infection is serious, it is necessary to choose "B" and "C" traditional Chinese medicines, preferably intravenous administration, and at the same time carry out bacterial culture+drug sensitivity for targeted medication. Generally, only items "A" and "B" are needed for the auxiliary examination of duplication of kidney and ureter. Curative effect evaluation 1. Cure: lesion excision or etiology removal, infection control or disappearance. Urinary incontinence and ectopic ureteral orifice were corrected and the symptoms disappeared. 2. Improvement: The cause was removed, the symptoms of urinary incontinence disappeared, but there were recurrent urinary tract infections. Experts suggest that duplication of kidney and ureter malformation cannot be cured by drugs alone, and drugs can only control infection and create opportunities for surgery. Surgery is the only cure. As long as complications occur, they should be treated as soon as possible.