Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1982 Jun 19;284(6332):1847–1851. doi: 10.1136/bmj.284.6332.1847

Role of modern radiological investigations in obstructive uropathy.

P H O'Reilly
PMCID: PMC1498757  PMID: 6805727

Abstract

Obstructive uropathy in its various forms accounts for much of the work load in urological units and general hospitals. Until recently, laboratory tests and excretion urography were the only procedures available for its assessment. The past few years have seen the development and refinement of ultrasound, examination by computer tomography, nuclear medicine, antegrade pyelography, and perfusion pressure flow studies. This paper examines the particular qualities of these modern procedures and their role in the clinical assessment of the obstructed urinary tract.

Full text

PDF
1847

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BOYARSKY S., MARTINEZ J. PATHOPHYSIOLOGY OF THE URETER: PARTIAL LIGATION OF THE URETER IN DOGS. Invest Urol. 1964 Sep;2:173–180. [PubMed] [Google Scholar]
  2. Banner M. P., Pollack H. M. Evaluation of renal function by excretory urography. J Urol. 1980 Oct;124(4):437–443. doi: 10.1016/s0022-5347(17)55487-7. [DOI] [PubMed] [Google Scholar]
  3. Buck A. C., Macleod M. A., Blacklock N. J. The advantages of 99mTc DTPA(Sn) in dynamic renal scintigraphy and measurement of renal function. Br J Urol. 1980 Jun;52(3):174–186. doi: 10.1111/j.1464-410x.1980.tb02955.x. [DOI] [PubMed] [Google Scholar]
  4. Djurhuus J. C., Nerstrom B., Gyrd-Hansen N., Rask-Andersen H. Experimental hydronephrosis. An electrophysiologic investigation before and after release of obstruction. Acta Chir Scand Suppl. 1976;472:17–28. [PubMed] [Google Scholar]
  5. Holten I., Storm H. H. Kidney scintigraphy with 99mTc-DMSA and 131I-hippurate. Scand J Urol Nephrol. 1979;13(3):275–281. doi: 10.3109/00365597909179537. [DOI] [PubMed] [Google Scholar]
  6. Koff S. A., Thrall J. H., Keyes J. W., Jr Diuretic radionuclide urography: a non-invasive method for evaluating nephroureteral dilatation. J Urol. 1979 Oct;122(4):451–454. doi: 10.1016/s0022-5347(17)56458-7. [DOI] [PubMed] [Google Scholar]
  7. Krueger R. P., Ash J. M., Silver M. M., Kass E. J., Gilmour R. F., Alton D. J., Gilday D. L., Churchill B. M. Primary hydronephrosis. Assessment of diuretic renography, pelvis perfusion pressure, operative findings, and renal and ureteral histology. Urol Clin North Am. 1980 Jun;7(2):231–242. [PubMed] [Google Scholar]
  8. Lome L. G., Pinsky S., Levy L. Dynamic renal scan in the non-visualizing kidney. J Urol. 1979 Feb;121(2):148–152. doi: 10.1016/s0022-5347(17)56701-4. [DOI] [PubMed] [Google Scholar]
  9. Lupton E. W., Testa H. J., Lawson R. S., Edwards E. C., Carroll R. N., Barnard R. J. Diuresis renography and the results of pyeloplasty for idiopathic hydronephrosis. Br J Urol. 1979 Dec;51(6):449–453. doi: 10.1111/j.1464-410x.1979.tb03576.x. [DOI] [PubMed] [Google Scholar]
  10. Meyerowitz B. R. Medi-cal: a debacle? West J Med. 1980 Nov;133(5):449–450. [PMC free article] [PubMed] [Google Scholar]
  11. O'Reilly P. H., Lawson R. S., Shields R. A., Testa H. J., Edwards E. C. Radionuclide studies of the lower urinary tract. Br J Urol. 1981 Jun;53(3):266–269. doi: 10.1111/j.1464-410x.1981.tb06103.x. [DOI] [PubMed] [Google Scholar]
  12. O'Reilly P. H., Lawson R. S., Shields R. A., Testa H. J. Idiopathic hydronephrosis--the diuresis renogram: a new non-invasive method of assessing equivocal pelvioureteral junction obstruction. J Urol. 1979 Feb;121(2):153–155. doi: 10.1016/s0022-5347(17)56703-8. [DOI] [PubMed] [Google Scholar]
  13. O'Reilly P. H., Lupton E. W., Testa H. J., Shields R. A., Carroll R. N., Edwards E. C. The dilated non-obstructed renal pelvis. Br J Urol. 1981 Jun;53(3):205–209. doi: 10.1111/j.1464-410x.1981.tb06088.x. [DOI] [PubMed] [Google Scholar]
  14. O'Reilly P. H., Testa H. J., Lawson R. S., Farrar D. J., Edwards E. C. Diuresis renography in equivocal urinary tract obstruction. Br J Urol. 1978 Apr;50(2):76–80. doi: 10.1111/j.1464-410x.1978.tb03030.x. [DOI] [PubMed] [Google Scholar]
  15. Piepsz A., Denis R., Ham H. R., Dobbeleir A., Schulman C., Erbsmann F. A simple method for measuring separate glomerular filtration rate using a single injection of 99mTc-DTPA and the scintillation camera. J Pediatr. 1978 Nov;93(5):769–774. doi: 10.1016/s0022-3476(78)81074-9. [DOI] [PubMed] [Google Scholar]
  16. Pinck B. D., Corrigan M. J., Jasper P. Pre-prostatectomy excretory urography: does it merit the expense? J Urol. 1980 Mar;123(3):390–391. doi: 10.1016/s0022-5347(17)55948-0. [DOI] [PubMed] [Google Scholar]
  17. Stage K. H., Lewis S. Use of the radionuclide washout test in evaluation of suspected upper urinary tract obstruction. J Urol. 1981 Mar;125(3):379–382. doi: 10.1016/s0022-5347(17)55042-9. [DOI] [PubMed] [Google Scholar]
  18. Turner-Warwick R., Whiteside C. G., Milroy E. J., Pengelly A. W., Thompson D. T. The intravenous urodynamogram. Br J Urol. 1979 Feb;51(1):15–18. doi: 10.1111/j.1464-410x.1979.tb04237.x. [DOI] [PubMed] [Google Scholar]
  19. Underwood W. E. Recent Observations on the Pathology of Hydronephrosis: (Section of Urology). Proc R Soc Med. 1937 Apr;30(6):817–826. doi: 10.1177/003591573703000645. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Whitaker R. H. The Whitaker test. Urol Clin North Am. 1979 Oct;6(3):529–539. [PubMed] [Google Scholar]
  21. Whitfield H. N., Britton K. E., Hendry W. F., Nimmon C. C., Wickham J. E. The distinction between obstructive uropathy and nephropathy by radioisotope transit times. Br J Urol. 1978 Dec;50(7):433–436. doi: 10.1111/j.1464-410x.1978.tb06186.x. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES