Hydronephrosis

I have neo & am unable to fully empty, so self cath every time I void. All depends how neo is lying. For the first few years I had alternating US or renogram, sometimes doing better than others - results always better from afternoon testing rather than morning. At my last few annual ultrasound kidney checks, they have noted hydronephrosis, sounds very similar to your results, but I understand that is not uncommon with neos due to some urinary reflux. A subsequent renogram was normal & the hydronephrosis was unchanged at my last US. 

I do wonder if the hydronephrosis is particularly visible because US is performed while lying down (especially if bladder is full - I have learnt to be careful NOT to have full bladder) & would be interested to know if it would be as apparent if US done while sitting up. 

You say you don't have any residual urine - how has that been checked? However, I suspect it's perhaps more important not to get overfull & get reflux. I suppose straining to empty might force urine back & certainly in the early training days I got painful kidneys. 

Thank you for your reply Teasswill. I know there’s little to no residual as I still self catheterise 2/3 times a week. I sincerely hope that we both find some kind of resolution to this issue.

My consultant doesn't seem bothered by it. I've noticed that before, when the person reporting on test results indicates a problem & my consultant says it's fine. I don't mind self cathing to empty, just seems normal now. At 10 yrs post op, I hope any serious issues would have cropped up by now, but I'm always relieved when annual check is all OK.