Renography in the Assessment of Patients with Uretero-sigmoid Diversion

Wilson, Kenneth S.; Doig, A.; Fowler, James W.

doi:10.1111/j.1464-410x.1977.tb04101.x

Cited by 8 publications

(1 citation statement)

References 3 publications

(1 reference statement)

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“…Only 4% had radiological upper-tract dilatation and a normal HRS. Two reports concerning renography and urography after urinary diversion [22,23] concluded that renography is well suited for the long-term control of these patients.…”

Section: Comparison Between Hrs and Ivumentioning

confidence: 99%

Hippuran Renography and Scintigraphy in Children with Myelomeningocele

Thomsen¹,

Thorup²,

Johnsen³

1986

Eur Urol

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Section: Comparison Between Hrs and Ivumentioning

confidence: 99%

Hippuran Renography and Scintigraphy in Children with Myelomeningocele

Thomsen¹,

Thorup²,

Johnsen³

1986

Eur Urol

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Prospective Radionuclide Renal Function Evaluation and its Correlation with Radiological Findings in Patients with Kock Pouch Urinary Diversion

et al. 1991

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In an attempt to understand better the status of renal function after Kock pouch urinary diversion we conducted a prospective evaluation of renal function in 25 patients using the radionuclide 131iodine-hippurate. Studies were done before, and at 1 month and every 6 months for 30 months postoperatively. The radionuclide results were then compared to excretory urography and contrast study of the reservoir. Our renal function study included the determination of individual and total effective renal plasma flow (ml. per minute), the time to maximal radioactivity over the kidney (peak time in minutes) and a renogram. The mean total (both kidneys) effective renal plasma flow rates before (25 patients) and at month 1 (19), month 6 (14), month 12 (12), month 18 (6), month 24 (6) and month 30 (7) after operation were 385.5 +/- 112.2, 310.5 +/- 109.9, 362.7 +/- 69.2, 442.0 +/- 97.5, 468.2 +/- 82.5, 405.7 +/- 70.6 and 414.0 +/- 65.1, respectively. A comparison of individual and total effective renal plasma flow before and after operation revealed that only the change of the flow at each or both sides of the kidney before and at 1 month after the operation reached statistically significant differences, respectively (p less than 0.05, paired t test). Postoperatively 5 of 6 patients with hydronephrosis had abnormal peak time and a third segment on the renogram was performed on the corresponding side of the kidney. No reflux was noted on contrast study of the reservoir of any patient followed for up to 30 months. In conclusion, the radionuclide renal function evaluation showed a significant decrease of renal function 1 month after Kock pouch diversion, then it resumed and remained stable (neither improved nor deteriorated) for 30 months. Also the abnormal peak time and third segment on the renogram usually implicated a dilated upper urinary tract.

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Effective Renal Plasma Flow: Clinical Significance after Spinal Cord Injury

et al. 1985

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We conducted a study to determine if effective renal plasma flow routinely measured by hippurate clearance during a comprehensive renal scintillation procedure is a relevant measure for assessing renal function in spinal cord injury patients. All subjects had spinal cord injury and had had contemporaneous comprehensive renal scintillation procedures and excretory urograms on 2 occasions 24 months or less apart. Each of the 469 kidneys was placed into 1 of 5 quintiles on the basis of its effective renal plasma flow at the first examination. The percentage of the kidneys that had clinically significant pyelocaliectasis or in which the pyelocaliectasis significantly worsened was 20.4 per cent in the lowest (first) quintile and 9.3, 2.2, 5.4 and 3.2 per cent in the second, third, fourth and fifth quintiles, respectively. Analogous data for ureterectasis were 16.1, 8.2, 2.2, 3.3 and 3.2 per cent. There was a significant (p less than 0.01) correlation between effective renal plasma flow and renal parenchymal thickness. Kidneys with renal calculi averaged effective renal plasma flows about 25 per cent lower than those of kidneys free of calculi. We conclude that effective renal plasma flow is a relevant measure for assessing renal function in spinal cord injury patients.

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Renography in the Assessment of Patients with Uretero-sigmoid Diversion

Cited by 8 publications

References 3 publications

Hippuran Renography and Scintigraphy in Children with Myelomeningocele

Hippuran Renography and Scintigraphy in Children with Myelomeningocele

Prospective Radionuclide Renal Function Evaluation and its Correlation with Radiological Findings in Patients with Kock Pouch Urinary Diversion

Effective Renal Plasma Flow: Clinical Significance after Spinal Cord Injury

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