After 15 months of being pushed around by Brody's urologist, I finally switch to someone who knows what she is talking about. February 1st Brody had surgery to repair his right kidney and his urethra. Dr. Upadhyay calls us into the PACU where Brody was still waking up after being asleep for almost 4 hours. Everything is explained and drawn out.
She started out by putting a scope into his urethra, she finds problem 1, his urethra was small like a pin whole, there was a stricture blocking it and she cut it out. Further up she finds problem 2, posterior urethral values. Posterior urethral valves (PUV) is a condition found only in boys. PUV occurs in one in every 8000 boys born. It affects the urethra (the tube which runs from the bladder to the outside). In boys with PUV, the urethra has a blockage in it near the bladder. This makes it difficult for them to pass urine. As the bladder pushes hard to get the urine out, it causes pressure which may result in urine being pushed back from the bladder into the ureters and kidneys (reflux). This causes the kidneys and bladder to swell. She cuts them out.
Problem 3, the ureter connecting his right kidney to his bladder was really windy, turny, and thick then suddenly it becomes very skinny. She took out the skinny section and reconnected it back to the bladder and put in a stint while it heals. She thinks there could be another blockage up higher by his kidney but isn't positive. When she repaired the ureter, she said urine went everywhere so she think it will be okay. The test showed a little something up top but I'm hopeful that what she did fixed it completely.
We will be doing a VCUG at CHKD in a couple weeks to see if everything is better. But for now, he has a foley catheter and a SPT. He is deathly afraid of both :(
