Dynamic sonography with provocation of pain for diagnosis of symptomatic mobile kidneys

The European Journal of Surgery = Acta Chirurgica
C ArnerlövL Ohberg

Abstract

To evaluate the results of nephropexy in patients with a diagnosis of symptomatic mobile kidney that had been established by dynamic sonography with provocation of pain. Prospective study. University hospital, Sweden. 19 consecutive patients with symptomatic right-sided mobile kidney and 6 controls who had urographically mobile kidneys but no pain. Dynamic sonography and dislocation of the kidney by manipulation. All 19 patients experienced pain on manipulation and the 6 controls did not. The 19 patients were treated by nephropexy and followed for at least four years postoperatively. Relief of pain after nephropexy. In 16/19 patients the pain was relieved by nephropexy. Dynamic ultrasound is useful in correlating the abnormal position of the kidney with pain, and successfully indicates those patients whose symptoms will be relieved by nephropexy.

Citations

Oct 22, 2008·Journal of Endourology·Ali S GözenMartin Hatzinger
Nov 26, 2009·Nature Reviews. Nephrology·Barbara A Clark, Amandeep Sekhon

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