Abstract
Two middle-aged men were referred for control of severe hypertension, presumed to be 'essential'. Late-onset enuresis, a small palpable bladder, and slight prostatic enlargement were elicited in one patient; history and examination were unremarkable in the other patient, apart from moderate prostatic enlargement. Intravenous urography revealed massive bilateral hydronephrosis with hydroureters in both patients. Surgical relief of retention was associated with post-obstructive diuresis and normalization of blood pressure, although recurrence of hypertension occurred later in one patient. These patients suffered from high pressure chronic retention, a syndrome characterized by impairment of renal function and hypertension. Surgical relief of retention was accompanied by prompt correction of hypertension, and gradual, sustained recovery of renal function.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Abrams P. H., Dunn M., George N. Urodynamic findings in chronic retention of urine and their relevance to results of surgery. Br Med J. 1978 Nov 4;2(6147):1258–1260. doi: 10.1136/bmj.2.6147.1258. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Amuasi J. H., Crawley J. C., Veall N., Wilkins H. A., Cronquist A. G. Estimation of mean transit times from semiquantitative indices derived from standard renograms. Clin Phys Physiol Meas. 1983 May;4(2):211–216. doi: 10.1088/0143-0815/4/2/006. [DOI] [PubMed] [Google Scholar]
- Belman A. B., Kropp K. A., Simon N. M. Renal-pressor hypertension secondary to unilateral hydronephrosis. N Engl J Med. 1968 May 23;278(21):1133–1136. doi: 10.1056/NEJM196805232782101. [DOI] [PubMed] [Google Scholar]
- Morgan W. D., Birks J. L., Sivyer A., Ghose R. R. An efficient technique for the simultaneous estimation of GFR and ERPF, involving a single injection and two blood samples. Int J Nucl Med Biol. 1977 Jan;4(1):79–83. doi: 10.1016/0047-0740(77)90047-x. [DOI] [PubMed] [Google Scholar]
- Vaughan E. D., Jr, Bühler F. R., Laragh J. H. Normal renin secretion in hypertensive patients with primarily unilateral chronic hydronephrosis. J Urol. 1974 Aug;112(2):153–156. doi: 10.1016/s0022-5347(17)59668-8. [DOI] [PubMed] [Google Scholar]
- Weidmann P., Beretta-Piccoli C., Hirsch D., Reubi F. C., Massry S. G. Curable hypertension with unilateral hydronephrosis. Studies on the role of circulating renin. Ann Intern Med. 1977 Oct;87(4):437–440. doi: 10.7326/0003-4819-87-4-437. [DOI] [PubMed] [Google Scholar]