Pediatric Radiology

, Volume 18, Issue 1, pp 54–56 | Cite as

Imaging of uretero-pelvic junction obstruction with stimulated diuresis

With consideration of the reliability of ultrasonography
  • K. -D. Ebel
  • J. A. Bliesener
  • M. Gharib


Eighty-nine kidneys of 81 infants and children with uretero-pelvic junction obstruction were investigated using ultrasonography (US), diuretic urography (DUR) and diuretic renography (DREN). Results of the US were false-negative in 14%. This can be avoided by ensuring that the patients get an amount of fluid appropriate to their age before the examination or by performing diuretic ultrasonography with frusemide. False-positive results were found with US in 15%, but obstruction was excluded by using the DUR and/or the DREN. During post-operative follow up the DUS is useful and after 6 months the clearance with 123-iodine hippurate combined with the DREN should be performed. The performance of the Whitaker-test is unnecessary.


Public Health Hippurate Frusemide Diuretic Renography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Amis ES, Cronan JJ, Pfister RC, Yoder IC (1982) Ultrasonic inaccuracies in diagnosing renal obstruction. Urology 19: 101CrossRefPubMedGoogle Scholar
  2. 2.
    Bliesener JA, Ebel KD (1983) Ultraschalluntersuchung der albeitenden Harnwege im Kindesalter. Tagung der Gesellschaft für Pädiatrische Radiologie, StuttgartGoogle Scholar
  3. 3.
    Dinkel E, Peters H, Dittrich M (1983) Sonographische Diagnostik der Harntransportstörungen im Kindesalter. Ultraschall 4: 166CrossRefGoogle Scholar
  4. 4.
    Kass EJ, Majd M, Belman AB (1985) Comparison of diuretic renography and the pressure-perfusion study in children. J Urol 134: 92PubMedGoogle Scholar
  5. 5.
    Koff SA (1982) Clinical management. In: O'Reilly PH, Gosling JA (eds) Idiopathic hydronephrosis. Springer, Berlin Heidelberg New York, p 115Google Scholar
  6. 6.
    Koff SA, Shore RM (1983) Diuretic radionuclide urography. Urol Radiol 5: 189PubMedGoogle Scholar
  7. 7.
    Krueger RP, Ash JM, Silver MM, Kass EJ, Gilmour DJ, Gilday DL, Churchill BM (1980) Primary hydronephrosis. Assessment of diuretic renography, pelvis perfusion pressure, operative findings and renal and ureteral histology. Urol Clin North Am 7: 231PubMedGoogle Scholar
  8. 8.
    Lupton EW, Testa HJ, Lawson RS, Carroll RNP, Barnard RJ (1979) Diuresis renography and the results of pyeloplasty for idiopathic hydronephrosis. Br J Urol 51: 449PubMedGoogle Scholar
  9. 9.
    Metreweli C, Furness ME (1983) The echography of pelviureteric junction obstruction in children. Clin Radiol 34: 547CrossRefPubMedGoogle Scholar
  10. 10.
    O'Reilly PH, Testa HJ, Lawson RS, Farrar DJ, Charlton-Edwards E (1978) Diuresis renography in equivocal urinary tract obstruction. Br J Urol 50: 76PubMedGoogle Scholar
  11. 11.
    Rado JP, Banos C, Tako J (1968) Radioisotope renography during frusemide diuresis. Nucl Med 7: 212Google Scholar
  12. 12.
    Rosenfield AT (1982) Ultrasound evaluation of renal parenchymal disease and hydronephrosis. Urol Radiol 4: 125PubMedCrossRefGoogle Scholar
  13. 13.
    Senac MO, Miller JH, Stanley P (1984) Evaluation of obstructive uropathy in children: radionuclide renography vs the Whitaker-Test. AJR 143: 11PubMedGoogle Scholar
  14. 14.
    Whitfield HN, Britton KE, Hendry WF, Wickham JEA (1979) Frusemide intravenous urography in the diagnosis of pelviureteric junction obstruction. Br J Urol 51: 445PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • K. -D. Ebel
    • 1
    • 3
  • J. A. Bliesener
    • 1
  • M. Gharib
    • 2
  1. 1.Department of RadiologyChildren's Hospital of CologneCologneFRG
  2. 2.Division of Pediatric Urology, Department of Pediatric SurgeryChildren's Hospital of CologneCologneFRG
  3. 3.Röntgenabteilung Kinderkrankenhaus der Stadt KölnKöln 60FRG

Personalised recommendations