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i need a medical professional preferably ultrasound tech to answer this?
Regaurding an ultra sound of my daughters kidneys which were normal. However it said this sentence. There is a question of slight prominece to the visualized portions of the proximal ureters bilateraly. What does it mean? Anyone? She is 6 and urinates VERY frequently, it doesn’t seem normal to me!
Question clinical significance.
The ureters are the tubes leading from the kidneys to the bladder. Prominence of the proximal ureters means the top part of the ureters, near the kidneys, are a little more distended than the tech feels is normal.
This could be a normal finding; some patients have prominent renal pelves normally, and these may extend outside the kidney itself and look like the ureter. Also, sometimes the collecting systems of the kidneys appear slightly prominent just from having a lot of fluid in them.
It is also possible that she has chronic vesico-ureteral reflux (VUR– urine refluxing from the bladder back into the ureter, sometimes as far up as the kidney), especially if she has had multiple urinary tract infections. (It’s not that common for it to look the same on both sides, though.) Showing reflux cannot be done by ultrasound. It requires bladder catheterization (uncomfortable for the patient) and a fluoroscopic study. Whether this is necessary in your daughter’s case is something you must discuss with the pediatrician.
Frequent urination is most likely due to infection, or possibly diabetes. Again, it is best to discuss with your pediatrician whether her urinary frequency is really abnormal, and what further tests and/or treatment is necessary at this point.
