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Prognosis of Radiologically Non‐functioning Obstructed Kidneys
Author(s) -
TAHA S. A.,
ALMOHAYA S.,
ABDULKADER A.,
KAMAL B.,
YOUSIF A.,
ANIKWE R. M.
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.tb04320.x
Subject(s) - medicine , percutaneous nephrostomy , nephrostomy , radiology , percutaneous , ultrasonography , renal function , surgery
Summary— Twenty patients found to have unilateral radiologically non‐functioning obstructed kidneys on excretory urography (IVU), and who had normal contralateral kidneys, were further evaluated. Ultrasonography, radionuclide imaging and CT scan were carried out pre‐operatively to try to predict which of the kidneys were potentially recoverable after relief of obstruction. Percutaneous nephrostomy was also performed on the last consecutive 7 patients 4 weeks before definitive treatment and the function of the kidneys determined daily. The patients were reevaluated 2 months after the relief of obstruction. Ultrasonography, radionuclide imaging and CT scan were not found to be reliable in predicting whether these kidneys were potentially recoverable. We consider percutaneous nephrostomy a good procedure for obtaining prognostic information prior to definitive surgery.