Hydronephrosis: Diagnosis and Treatment of Ureteropelvic Obstructions

Gibson, Thomas

doi:10.1016/s0022-5347(17)66768-5

Cited by 12 publications

(1 citation statement)

References 16 publications

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“…Blunting of the calyceal fornices has been taken as the hallmark of hydronephrosis (Gibson, 1956) but we found that some of our patients had pain from pelvic dilatation during both acute and diuretic urography. Their symptoms were relieved by pyeloplasty.…”

Section: Discussionmentioning

confidence: 63%

The Value of Provocative and Acute Urography in Patients with Intermittent Loin Pain

Davies

Woods

Evans

et al. 1978

British Journal of Urology

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Twenty-two patients with intermittent loin pain thought to be typical of primary pelvic hydronephrosis but with normal appearances at standard excretion urography were subjected to diuretic urography using Frusemide-induced diuresis. If this was normal, acute urography was performed when the patient had pain. Abnormal appearances were shown in only 15 patients. In 4, only the erect films revealed the hydronephrosis. Dilatation occurred in response to a diuretic load in 9 and the abnormality was shown at the time of an attack of pain in 4. The hydronephrosis was shown only during the attack of pain in 2, a diuretic urogram having been normal. In 2 patients the nephrographic signs of acute obstruction were shown to be due to occlusion of the pelvi-ureteric junction at the time of an attack of pain. The importance of sequential examination, the value of erect films and acute urography are stressed.

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Section: Discussionmentioning

confidence: 63%