### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have a horseshoe kidney. Since 2005 I ve had numerous kidney stones , weight gain of 50 pounds In 4 months. Most recent last few years have had hydronephrosis , swelling I. Abdomen pain and swelling, swelling of legs and hands, weakness and tiredness. I have back, side pain, and abdomen, recent tests showed I have 33% on right kidney and 60% on left. Right kidney is small, weaker and were all my problems are. Constant blood in urine . My doctors aren t doing what they can do. Also right kidney is delayed in function overall so I ve been told. 2 years ago I had 45% percent in right kidney. My urologist said I might need reconstruction with possible separation, but no one can give me names doctors who specialize in this and surgeon names. My life has become so affected my this and I m so tired of not feeling good. I m tempted to go to mayo clinic. I m scared and worried. What should I do? Does anyone know doctors who Are top rated in this? Help

### output:

HelloThanks for your query. Based on the facts that you have posted it appears that you have Horseshoe Kidney with stones in both the kidneysYour scan report are suggesting gradual loss of kidney function on both the sides resulting you going in to chronic renal failure which is manifested by swelling of the face, hand and legs. Since kidney damage is due to obstruction to the flow of urine due to angulation of both the ureters due to crossing of both the ureters over isthmus of the kidney(portion which connects to both the kidneys)there are chances of recovery of kidney function on excision of this portion of kidney and releasing the obstruction of both the ureters. Which will restore the kidney function to near normal. Please consult urologist for further treatment. This surgery can be carried out by any experienced Urologist. Chat Doctor.  Cr