Abstract
The need for elimination of obstruction in the urinary tract is so well accepted a principle of urology and surgical procedures for individual obstructions so familiar that it is a matter of surprise that the fundamental nature of the damage to the urinary tract and kidney consequent upon obstruction is not fully understood. Superficially it is abundantly clear that an obstructive lesion produces dilatation of the urinary tract above the obstruction, an increase of pressure within the kidney and an impairment of renal function which is, in the early stages, recoverable. Yet none of these features can be accepted without comment. The presence of dilatation does not necessarily indicate obstruction; the pressure within the apparently obstructed kidney is not always high; the pathology of temporary and permanent renal impairment is still a matter of investigation. Each of these aspects requires discussion from the clinical and experimental point of view, and this chapter is concerned with the upper tract disorder. The criteria for the diagnosis of bladder outflow obstruction are discussed in Chapter 0.
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Williams, D.I., Barratt, T.M. (1974). Obstructive Uropathy: The Functional Disorder. In: Urology in Childhood. Handbuch der Urologie / Encyclopedia of Urology, vol 15 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65687-3_13
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DOI: https://doi.org/10.1007/978-3-642-65687-3_13
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