We met with surgeons and pediatric urologists earlier this week. Little Sienna's condition is not going to get better, without the help of surgery. With Grade 5 Kidney Reflux on her left side, surgeons say there is an 85% chance this surgery will be successful and stop the reflux. Sienna is scheduled for surgery at PCMC on June 7th. She remains on antibiotics, and she will continue to take them 6 weeks post surgery too. The antibiotics are preventing her from developing another kidney infection - but her urinary tract is full of bacteria due to her kidney (or vesicoureteral) reflux. Her bladder is not draining properly. This is why she has been so sick.

Sienna's system looks similar to this picture. Her left side is distorted and dilated. After taking a closer look at her ultrasound pictures - surgeons think she has a partially duplicated system on the left side. That means she has two ureters connected to her left kidney, and then it appears they channel into one tube - attached to her bladder. So it looks like a "Y" shape. Those ureters are twisted and enlarged because fluids, which should be exiting her body...are being held in the bladder and then going back up - making it all the way to her left kidney. The doctors will be able to tell, during her surgery, if she has suffered any kidney damage. The non-working culprit that's been making her feel miserable is a flap-valve that is located inside of the bladder and attached to the ureters. It's not strong enough - so it's been allowing urine to relux back up into the kidneys. Sienna has Grade 2 reflux on her RIGHT side. Usually, with Grade 2, Doctors would put her on antibiotic therapy until her system could mature. (Usually around the age of 6.) But since they will be fixing the greater problems on her LEFT side - they will do the surgery on the RIGHT ureter as well. Surgeons will make an incision in her lower abdomen, much like a C-section. They will cut into her bladder and correct the flap-valve attachment. She will be at Primary's for 3 to 5 days, and then come home with ureteral stent tubes. Since her little system will be swollen, the tubes will come right from her bladder out of her tummy, above her hip bones. We can attach bags to her legs to collect the urine or double diaper her. She will have the stent tubes for a week or so.
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Enjoying some milk! Yummy. |
Sienna really loves to play Duck*Duck*Goose. She randomly walks around tapping her head or a stuffed animal's head to keep the game going!
Thanks to all who have expressed kindness for Sienna. This surgery has the potential to make her feel whole. No more yuckiness and bacteria harbored in her system. She's going to be okay. I've been crying. A little. Okay, more than a little. I realize there are so many others dealing with things much, much worse...but my heart still breaks for my baby. It's overwhelming. And yet, it's amazing that surgeons are skilled enough to identify and fix this problem.
6 comments:
Poor little thing. We will keep her in our prayers. I loved that video! What a cutie pie.
Thinking of you everyday! Praying for you all!
Good luck with everything!
I can't even imagine how you guys are feeling. It makes me so sad for her and for you guys. How overwhelming. I'm so happy you can get this fixed and get her feeling better soon. Let me know if we can ever help with Gracie, Nahla would be in heaven!! xoxo! Love you guys!
You're all in our prayers. If you need a little break/visit/pampering for you and your sweet ones give me a buzz and I will come over with all my manicure-pedicure stuff and paint everyones nails, does Sienna like that kind of thing? if so please let me know.
Oh poor little thing! I think one of the reasons we have to watch our littles go through hard things is to give us a little glimpse of what our Heavenly Father goes through when he watches us go through hard things. Nothing hurts worse than to see your child suffer (in whatever way--physical, mental, emotional, etc.) Hugs to you mama!
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