Urologic radiology

, 6:1 | Cite as

Pelviureteric junction obstruction in association with severe vesicoureteric reflux: A diagnostic dilemma

  • M. Rickard
  • R. H. Whitaker


Three patients are described who present the diagnostic and management dilemma of having a definite obstruction at the pelviureteric junction in association with marked vesicoureteric reflux. It is not always a simple decision as to whether the hydronephrosis should be operated upon before reflux or vice versa. The decision is based on an assessment of the severity of the reflux and the radiological or other interpretation of obstruction at the pelviureteric junction. Some guidelines are given and the management of the 2 conditions when occurring together is discussed.

Key words

Obstruction, pelviureteric Reflux, vesicoureteric 


  1. 1.
    Whitaker RH: Reflux induced pelviureteric obstruction.Br J Urol 48: 555–560, 1976PubMedCrossRefGoogle Scholar
  2. 2.
    Williams DI:Encyclopedia of Urology, Supplement, Berlin: Springer, 1974, pp 119, 125Google Scholar
  3. 3.
    Lebowitz RL, Blickman JG: The co-existence of ureteropelvic junction obstruction and reflux.AJR 140: 231–238, 1983PubMedGoogle Scholar
  4. 4.
    Whitaker RH: The Whitaker test.Urol Clin North Am 6: 529–539, 1979PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Berlin Heidelberg Tokyo 1984

Authors and Affiliations

  • M. Rickard
    • 1
  • R. H. Whitaker
    • 1
  1. 1.Departments of Radiology and UrologyAddenbrooke’s HospitalCambridgeEngland

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