PMID: 589898Sep 1, 1977

Ascending uretero-pyelography in renal failure

Clinical Radiology
R D KingstonP Dawson-Edwards

Abstract

Ascending uretero-pyelography has been carried out over a period of 13 years in 97 consecutive patients with undiagnosed renal failure. Sixty-nine were in a non-obstructive uropathy group while 26 had ureteric obstructions. There were two failures. Over 60% of examinations were performed under local anaesthesia, each examination taking an average of 20 min. There has been no mortality and two anaesthetic complications have been the only significant morbidity. Ureteric injury, urinary infection and renal function have all been investigated and recorded. Five per cent of patients developed urinary infection following AUP but without any major consequences. No significant ureteric injury occurred and no late sequelae were noted. Neither any reaction to contrast medium nor any further deterioration in renal function was observed; AUP was diagnostic in 46% of patients. In the remainder it ruled out obstructive uropathy and gave useful information about the kidneys, ureters and bladder. In experienced hands and with proper facilities AUP is safe and can be helpful in the diagnosis and management of patients in renal failure.

References

Mar 1, 1971·The British Journal of Radiology·I K Fry, W R Cattell
Apr 1, 1971·Clinical Radiology·M Elkin
Apr 1, 1971·Archives of Disease in Childhood·S R MeadowH M Saxton
Oct 1, 1965·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·A R Bennett, S N Wiener
Feb 1, 1958·A.M.A. Archives of Internal Medicine·R M KARKJ H KIEFER
Nov 1, 1962·Acta Radiologica·E BOIJSEN, R KOHLER
Jun 1, 1963·Archives of Disease in Childhood·R H WHITE

Citations

Sep 1, 1987·Clinical Radiology·C Evans
Jan 1, 1988·Avian Pathology : Journal of the W.V.P.A·J O'halloranA A Myers

Related Concepts

Kidney
Kidney Diseases
Kidney Failure, Chronic
Kidney Tubular Necrosis, Acute
Pyelonephritis Acute Necrotizing
Ureter
Ureteral Obstruction
Pyelography
Vascular Diseases

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