Conversation: The conversation between human and AI assistant.
[|Human|] At 18 years old i had an unexplained inability to urinate and wore a catheter for several weeks. My Dr. did a urethral dilation surgery as a last resort after many tests that showed nothing (including CT scan). Incidental finding on CT scan showed I had mild, symptomless spina bifida. At 45 I have been diagnosed with stage 3 ckd due to creatinine level of 1.21, eGFR 54. I am trying to understand why, as I am in *perfect* health, excellent BP, glucose, etc. I am wondering if maybe my kidney damage was caused by ongoing hydonephrosis (either due to spina bifida or partial blockage). I am suspicious becuase of having two sonograms (one in pregnancy, one for this condition) where the technician said my bladder was full when I could not feel that it was. Also have had mild back pain on left multiple times that radiated down to left labia. Any thoughts or advice?
[|AI|]  HelloThanks for query. Based on the facts that you have posted I would say that you have Neurogenic bladder. The HY Chat Doctor. Consult qualified Urologist /Nephrologist for detail evaluation and GE following basic test done to confirm the diagnosis.1) Aerodynamic study. 2) Endoscopic examination of bladder (Cystoscopy). Take Oxybutynin once daily Further treatment will depend upon TH final diagnosis.