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Clinical Significance of Ureteric Diameter on Intravenous Urography after Spinal Cord Injury
Author(s) -
ARNOLD E. P.,
COWAN I. A.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb04291.x
Subject(s) - reflux , medicine , ureter , spinal cord injury , intravenous urography , urinary system , urology , upper urinary tract , pyelogram , urinary bladder , spinal cord , surgery , disease , psychiatry
Summary— The ureteric diameter on IVU was compared with the MCU findings of reflux or lower urinary tract dysfunction in a group of patients followed up after spinal cord injury. A wide ureter was associated with reflux in 20%, but 8 normal sized ureters on IVU also refluxed—5 of them to a significant degree. In the non‐refluxing group, wide ureters were noted more often in patients whose bladder pressures were high and wildly fluctuating than in those with normal bladder pressures. Similarly, the incidence of reflux was higher in patients with high bladder pressures and wild fluctuations of bladder pressure than in those with normal pressures. While a wide ureter on IVU should arouse suspicion that reflux or lower urinary tract dysfunction might be present, these conditions are not necessarily excluded by the finding of a ureter of normal size.