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Updated: Sep 26, 2026

Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection
Published on: October 12, 2017
Ureteropelvic junction disease: diagnostic imaging
Giulia Maresca1, Fabio Maggi, Viola Valentini
1Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Largo A. Gemelli 8, 00168 Roma, Italy.
Abstract:
Ureteropelvic junction disease is very frequent in pediatric age. Diagnosis is usually established on sonography; in most cases it is prenatal and confirmed at birth. On sonography, hydronephrosis and the site of obstruction is identified with morphofunctional information on renal parenchyma. In the past, urography was the reference examination for ureteropelvic junction disease, but its use is limited in pediatrics especially in prenatal study for radioprotection as well as for the limited glomerular filtration of neonatal kidney. CT and MRI as second level examinations do not find many indications, while angioscintigraphy is largely used to acquire functional data and, in combination with sonography, is basic for diagnosis as well as in follow-up of operated patients.
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