title: Dynamic sonography with provocation of pain for diagnosis of symptomatic mobile kidneys.
abstract: 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.
authors.affiliation: Department of General Surgery, Umeå University Hospital, Sweden. Conny.Arnerlov@telia.com
authors.forename: C
authors.initials: C
authors.lastname: Arnerlöv
authors.forename: E
authors.initials: E
authors.lastname: Petersen
authors.forename: M
authors.initials: M
authors.lastname: Söderström
authors.forename: L
authors.initials: L
authors.lastname: Ohberg
mesh_terms: 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