Introductory Remarks Concerning the Urologic Aspects of Hypertension

Urologic experience with uninephrectomy for renal hypertension is reviewed and a case with a prolonged postoperative period of normotension is presented. In certain instances aortograms are necessary to identify vascular lesions in the kidney causing hypertension, but renograms using radioactive I131 may be of value as a screening procedure. An unusual case is described in which contrast material injected into the bladder could be seen to enter the renal pelves. The child went for prolonged periods without voiding and had demonstrable pyelonephritis. When antibiotics and a program of frequent voiding were commenced the blood pressure fell toward normal and has remained at only minimally elevated levels for the subsequent 2 years.