Nolan is sleeping off the morphine, so I have a minute to post a short update. He had his scintiscan on Friday for gastric reflux, and I don't know the results of that test yet. To my untrained eye, there was no gastric reflux, but we don't have the radiologist's report yet. I'm not sure where the rest of the failure-to-thrive investigation will lead, but I'm loathe to do any more testing. I'm really working hard on the "fatten up Nolan" campaign!
The cystoscopy was this morning. The urologist said he didn't expect to find any posterior urethral valves (PUVs), because they are so very rare (something like 1/8000 births). Not only are they rare, but they usually have very severe side effects early in development. Many babies don't survive the neonatal period with this particular problem.
The procedure (for no valves) was supposed to take 10 minutes. 45 minutes later.... the urologist came out. He took us into the conference room and explaned that Nolan had posterior urethral valves and they did have to remove them. The bladder and kidneys don't appear to be affected at all- we're extremely lucky. The VCUG also showed no urinary reflux, which means that his kidneys aren't in jeopardy from that particular problem.
We are dealing with some amount of pain- the morphine has mostly worn off and he's just on Tylenol from here on out. We're trying to get him to drink a lot to keep things dilute. Hopefully the worst of it is over, and he will be up and running around by tomorrow morning!
I hate this medical stuff. I'm so glad we're past this and it looks like we have the PUV's resolved before they could cause any damage to his bladder and kidneys. Here's to the end of medical appointments!