Dynamic sonography with provocation of pain for diagnosis of symptomatic mobile kidneys.
OBJECTIVE
To evaluate the results of nephropexy in patients with a diagnosis of symptomatic mobile kidney that had been established by dynamic sonography with provocation of pain.


METHODS
Prospective study.


METHODS
University hospital, Sweden.


METHODS
19 consecutive patients with symptomatic right-sided mobile kidney and 6 controls who had urographically mobile kidneys but no pain.


METHODS
Dynamic sonography and dislocation of the kidney by manipulation. All 19 patients experienced pain on manipulation and the 6 controls did not. The 19 patients were treated by nephropexy and followed for at least four years postoperatively.


METHODS
Relief of pain after nephropexy.


RESULTS
In 16/19 patients the pain was relieved by nephropexy.


CONCLUSIONS
Dynamic ultrasound is useful in correlating the abnormal position of the kidney with pain, and successfully indicates those patients whose symptoms will be relieved by nephropexy.
Arnerlöv
C
C
Department of General Surgery, Umeå University Hospital, Sweden. Conny.Arnerlov@telia.com
Petersen
E
E
Söderström
M
M
Ohberg
L
L
D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging* / Q000503:physiopathology* / Q000601:surgery; D007674:Kidney Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology; D010147:Pain Measurement; D011446:Prospective Studies; D014463:Ultrasonography