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My daughter is 20 years old and had a pyeloplasty surgery at the age of 6 months. They actually picked up her UPJ obstruction on my maternal ultrasound. Anyway, fast forward 20 years and she ended up n the ER at college with a major kidney infection and blockage. They inserted a nephrostomy tube, she then had a procedure where they removed a few stones, cleared out some scar tissue and inserted a JJ balloon stent. This was all removed and she just went for a renal scan (6 months later) which shows hydronephrosis of the right kidney and an obstruction. So here are the choices the dr is giving her.1. let it be and the kidney will die, however she may get more infections and Uti,s, 2. redo pyleoplasty, which she cannot guarantee or 3 remove the kidney (she has 25% function on this kidney) All of these choices are not great but after reading all these posts, Im not very optimistic about going ahead with any surgery. Please let me know if anyone could add any helpful knowledge through your own experience. Thanks