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Related Experiment Video

Updated: Jun 22, 2026

Traditional Trail Making Test Modified into Brand-new Assessment Tools: Digital and Walking Trail Making Test
08:07

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Published on: November 23, 2019

The Whitaker test: 35 years on.

Eric W Lupton1, Nicholas J R George

  • 1Department of Urology, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK. ew.lupton@ntlworld.com

BJU International
|May 27, 2009
PubMed
Summary
This summary is machine-generated.

The Whitaker test remains valuable for diagnosing upper urinary tract obstruction, especially in complex cases. It aids clinical management and predicts outcomes in suspected or confirmed obstruction.

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Area of Science:

  • Urology
  • Nephrology
  • Diagnostic Imaging

Background:

  • Upper urinary tract obstruction is a significant clinical challenge.
  • Accurate diagnosis is crucial for appropriate management and preserving renal function.
  • The Whitaker test (perfusion pressure-flow study) has been used to assess renal obstruction.

Purpose of the Study:

  • To review 25 years of Whitaker test use for upper urinary tract dilatation.
  • To evaluate the role of perfusion pressure-flow studies in equivocal upper tract obstruction.
  • To assess the test's accuracy in predicting clinical outcomes.

Main Methods:

  • Prospective data collection on 143 patients undergoing Whitaker tests.
  • Inclusion of high flow-rate perfusion, abnormal peristalsis, and loin pain observations.
  • Retrospective analysis of clinical presentation, pressure-flow studies, diuresis renography, and long-term outcomes.

Main Results:

  • 145 Whitaker tests showed obstructive (61) or unobstructive (53) patterns.
  • The test influenced management in 84% of cases.
  • Accuracy in predicting outcomes was 77% for both obstructive and unobstructive cases.

Conclusions:

  • The Whitaker test remains relevant in contemporary urological surgery.
  • It is indicated for equivocal results, poor kidney function, specific pain presentations, intermittent obstruction, and gross dilatation.
  • The test aids in diagnosing and managing upper urinary tract obstruction.