<s>[INST] My kidney function currently is 17% left kidney 83% right kidney. I m 48 yr old female, had a pyeloplasty at the age of 7 years of age. I ve had another bout of pyelonephritis, currently week 3, ongoing pain in my kidney. What are my options long term? [/INST] Good Day, and thank you for being with Chat Doctor ! Is your pyelonephritis in the left kidney? If you have recurrent Otis from the left kidney then options in the future would be prophylactic antibiotic daily or if still with breakthrough infection despite the antibiotic then you might need to have your kidney removed laparoscopically. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor.  Best wishes </s>