ManageChatDiscover
133963

Recoverability of Renal Function after Treatment of Adult Patients with Unilateral Obstructive Uropathy: A Prospective Study

Article

Last updated: 03 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

-

Abstract

Background: Obstructive uropathy refers to any blockage of urine drainage at any level of the urinary tract. It may be chronic or acute and may occur unilateral or bilateral. The prediction of the recoverability of kidney function after treatment of unilateral obstructive uropathy is of great clinical value to the urologists and nephrologists as it may affect the decision of treatment.
Objectives: To detect changes in split renal function of unilaterally obstructed kidney after a period of 6 weeks of drainage.
Patients and methods: This prospective observational study included 66 adult patients divided into 2 groups; Group A included patients with split function less than 10 % (36 patients) and Group B included patients with split function of 10 % or more (30 patients).
Results: The study showed that there were an insignificant difference between the two groups in age, sex, cause of obstruction, laterality of obstruction, method of drainage and patient's presentation. Also, there was an insignificant difference between pre- and post-drainage for group A (P-value 0.142). While there was a highly significance difference between pre- and post-drainage for group B (P-value < 0.001).
Conclusion: the preoperative split function of the obstructed kidney is the independent factor affecting the recoverability of renal function. Where kidneys with split function less than 10% are irreversibly damaged and the decision of treatment can be taken with no need to do drainage followed by repeating renal scan. While stabilization or improvement of renal function is expected after relief of obstruction in kidneys with split function of 10% or greater.

DOI

10.21608/ejhm.2020.133963

Keywords

Adult, Isotope renography, Obstructive Uropathy, Recoverability, Split function, Unilateral

Authors

First Name

Atef

Last Name

Badawy

MiddleName

-

Affiliation

Urology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.

Email

atef20278@med.menofia.edu.eg

City

-

Orcid

https://orcid.org/00

First Name

Osama A.

Last Name

Abdel Gawad

MiddleName

-

Affiliation

Urology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.

Email

-

City

-

Orcid

-

First Name

Mohammed A.

Last Name

El-Shazly

MiddleName

-

Affiliation

Urology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.

Email

-

City

-

Orcid

-

First Name

Mahmoud H.

Last Name

Hewaidy

MiddleName

-

Affiliation

Urology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.

Email

drmhh8383@yahoo.com

City

-

Orcid

-

Volume

81

Article Issue

7

Related Issue

19561

Issue Date

2020-10-01

Receive Date

2020-12-30

Publish Date

2020-10-01

Page Start

2,451

Page End

2,455

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 7_Pages 2451-2455.pdf

PDF . 382.8kB

Link

https://ejhm.journals.ekb.eg/article_133963.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=133963

Order

26

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Recoverability of Renal Function after Treatment of Adult Patients with Unilateral Obstructive Uropathy: A Prospective Study

Details

Type

Article

Created At

22 Jan 2023