[Value of the diuretic isotopic renogram in the follow-up of the upper urinary tract after cystectomy and urinary diversion using intestine].
BACKGROUND
In our experience we often observe urinary upper tract dilatation after urinari diversion with bowel. To spare useful approaches and therapeutics we have used diuretic renogram.


METHODS
26 patients with urinary diversion (Mainz II or Paduana ileal neobladder). We performance ultrasound, urography and diuretic renogram.


RESULTS
Follow-up is between 1 y 4 years. After urinary diversion, 54% of the upper tracts are dilated but only 39.3% of them are obstructed in the diuretic renogram. Normal urographic tracts are normal or have good response in the diuretic renogram. Results goes on in the time.


CONCLUSIONS
Diuretic renogram is a useful tool in the diagnosis of upper urinary tract obstruction after urinary diversion.
Servicio de Urología del Hospital Universitario Virgen Macarena de Sevilla, Fundación Joaquín Albarrán.
J L
JL
Moyano Calvo
S
S
Gómez Benítez
T
T
Cambil Molina
J
J
Castiñeiras Fernández
D015653:Cystectomy; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging; D004232:Diuretics; D005500:Follow-Up Studies; D005665:Furosemide; D006801:Humans; D007082:Ileum / Q000601:surgery; D007674:Kidney Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011859:Radiography; D011866:Radioisotope Renography / Q000379:methods*; D014515:Ureteral Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D014547:Urinary Diversion / Q000379:methods*
D004232:Diuretics; D005665:Furosemide