Determinants of progression and equilibrium in hydronephrosis.

Abstract:

:Upper urinary tract urodynamic parameters were measured serially in 12 dogs subjected to partial ureteropelvic junction obstruction. Measurements of pressure-volume relationships (pelvimetrics) and the physiologic capacity of the renal pelvis were important predictors of hydronephrotic equilibrium which occurred only in kidneys whose pelvic urine volume remained lower than the renal pelvic capacity. Because of acquired changes in compliance and renal function, the same degree of obstruction caused progressive hydronephrosis at low pelvic volumes but not at high volumes in some kidneys. Hydronephrosis can thus be viewed as a compensatory mechanism which protects the kidney against further dilation and elevated intrapelvic pressure.

journal_name

Urology

journal_title

Urology

authors

Koff SA

doi

10.1016/0090-4295(83)90049-3

subject

Has Abstract

pub_date

1983-05-01 00:00:00

pages

496-500

issue

5

eissn

0090-4295

issn

1527-9995

pii

0090-4295(83)90049-3

journal_volume

21

pub_type

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