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99m Tc DTP A Diuretic Renography in the Evaluation of Surgery in Chronic Schistosomal and Non‐schistosomal Obstructive Uropathy
Author(s) -
BAHAR R. H.,
SABHA M.,
KOURIS K.,
BRITTON K. E.,
ALI Y. M.,
AWDEH M.,
ABDELDAYEM H. M.,
NILSSON T.
Publication year - 1990
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.1990.tb14890.x
Subject(s) - obstructive uropathy , medicine , diuretic , urinary system , urology , urinary tract obstruction , schistosomiasis , surgery , immunology , helminths
Summary The selection of patients with chronic obstructive uropathy for surgery is difficult because of problems in identifying true obstruction in a grossly dilated urinary tract. This is especially so in schistosomal (bilharzial) obstructive uropathy. A prospective study of 90 patients (68 with chronic schistosomal and 22 with non‐bilharzial obstructive uropathy) was carried out. All patients underwent pre‐operative and post‐operative radionuclide 99m Tc DTPA diuretic renography (RDR). The aims were to assess the value of RDR in the pre‐ and post‐operative management of these patients and whether it could predict the outcome of surgery. Distinctive renogram patterns were identified in patients who required surgical management. These were found useful in monitoring the results and in predicting the outcome of surgery.