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Ureteroureteric reflux. Pathological entity or physiological phenomenon?

P H O'Reilly, R A Shields, H J Testa

British Journal of Urology

|April 1, 1984

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Incomplete duplication of the upper urinary tract can cause urodynamic abnormalities. Eight of 28 patients showed these issues, prompting investigation into their clinical significance.

Area of Science:

Urology
Pediatric Urology
Nephrology

Background:

Incomplete duplication of the upper urinary tract is a congenital anomaly.
Urodynamic abnormalities can be associated with urinary tract malformations.
The clinical significance of these abnormalities in duplex systems requires further elucidation.

Purpose of the Study:

To present clinical, urographic, and radionuclide findings in patients with incomplete upper urinary tract duplication.
To identify and analyze urodynamic abnormalities in this patient cohort.
To evaluate whether observed abnormalities are pathological or physiological variants.

Main Methods:

Retrospective review of 28 patients with incomplete upper urinary tract duplication.
Clinical examination, urography, and radionuclide imaging.

Related Experiment Videos

Urodynamic assessment to evaluate bladder and urethral function.

Main Results:

Three out of four possible urodynamic abnormality types were identified.
Eight of the 28 patients (28.6%) exhibited urodynamic abnormalities.
Findings suggest a spectrum of functional outcomes in this condition.

Conclusions:

Urodynamic abnormalities are present in a significant subset of patients with incomplete upper urinary tract duplication.
Further research is needed to determine if these abnormalities necessitate surgical intervention or represent benign variants.
Understanding urodynamics is crucial for managing patients with duplex urinary tracts.