A comparison between diuresis renography and the Whitaker test in 64 kidneys.
Fifty-seven patients have provided 64 dilated pelvicaliceal units for study by diuresis renography and the Whitaker test. Of 45 kidneys showing a type I or type IIIa renographic response (unobstructed), 32 were, according to Whitaker's criteria, obstructed, 8 fell into an equivocal zone and only 5 were unobstructed. Thirty-five of these kidneys--33 of which were associated with moderate or severe loin pain--were operated on for presumed obstruction with generally excellent symptomatic and renographic result. Thus the detection of a type I or type IIIa response in a dilated, painful system cannot be taken to exclude obstruction. Better correlation was obtained between renography and the Whitaker test in patients exhibiting a type IIIb or type II renographic response. Diuresis renography is a sensitive indicator of urodynamic disturbance in the upper urinary tract and an ideal means of evaluating post-operative progress. The Whitaker test provides a reliable means of selecting patients who will benefit from pyeloplasty.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004231:Diuresis; D005260:Female; D006801:Humans; D007668:Kidney / Q000503:physiopathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011312:Pressure; D011866:Radioisotope Renography; D014517:Ureteral Obstruction / Q000175:diagnosis* / Q000601:surgery; D001743:Urinary Bladder / Q000503:physiopathology; D014563:Urodynamics