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Introduction and General Considerations

  • P. H. O’Reilly

Abstract

The urinary drainage system begins at the minor calyces of the kidney and passes via the major calyces, renal pelvis and ureter to the urinary bladder and urethra. The function of the system is to transport urine produced in the renal parenchyma to the exterior in a mechanically efficient way. The only storage organ en route is the bladder, whose purpose is to hold urine without discomfort until it is socially convenient for it to be voided. This system may be obstructed at any point, and it is the causes, effects and management of such obstruction with which this book is concerned.

Keywords

Renal Blood Flow Renal Pelvis Unilateral Ureteral Obstruction Ureteral Obstruction Obstructive Uropathy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Allen JT, Vaughan ED Jr, Gillenwater JY (1978) The effect of indomethacin on renal blood flow and ureteral pressure in unilateral ureteral obstruction in awake dogs. Invest Urol 15: 324–327PubMedGoogle Scholar
  2. Barilla M, Bonamone A, Guttadauro M, Montanara A, Salomoni E, Squillaci S (1963) Functions motrices des voies extrécrices urinaires supérieures. Exploration radiocinema-tographiques avec enrigistrement des pressions. J Radiol Electrol 44: 48–56PubMedGoogle Scholar
  3. Better OS, Arieff AI, Massry SG, Kleeman CR, Maxwell MH (1973) Studies on renal function after relief of complete unilateral obstruction of three months duration in man. Am J Med 54: 234–240PubMedCrossRefGoogle Scholar
  4. Butcher HR, Sleator W Jr (1956) The effect of ureteral anastomosis upon the conduction of peristaltic waves: an electroureterographic study. J Urol 75: 650PubMedGoogle Scholar
  5. Constantinou CE (1973) Qualitative evaluation of the biomechanics and electrophysiology of the renal pelvis and ureter during peristalsis. Dissertation, Stanford University, CaliforniaGoogle Scholar
  6. Constantinou CE, Djurhuus JC (1982) Urodynamics of the multicalyceal upper urinary tract. In: O’Reilly PH, Gosling JA (eds) Idiopathic hydronephrosis. Springer, Berlin Heidelberg New York, pp 16–43CrossRefGoogle Scholar
  7. Cosma M, Montanara A, Salomani E (1963) On pyeloureteral motor functions in kidney resection. Urol Int 16: 319–340PubMedCrossRefGoogle Scholar
  8. Dalcanton A, Corradi A, Stanziale R et al. (1979) Effects of 24 hours unilateral ureteral obstruction on glomerular haemodynamics in rat kidney. Kidney Int 15: 457–462CrossRefGoogle Scholar
  9. Djurhuus JC (1980) Aspects of renal pelvic function. Thesis. CopenhagenGoogle Scholar
  10. Djurhuus JC, Nerstrom B, Iversen Hansen R, Rask Andersen H (1976) Incomplete ureteral duplication. Electromyographic and manometric investigation. Scand J Urol Nephrol 10: 111–115PubMedCrossRefGoogle Scholar
  11. Djurhuus JC, Nerstrom B, Iversen Hansen R, Gyrd-Hansen M, Rask Andersen H (1977) Dynamics of upper urinary tract. I. An electrophysiologic in vivo study of renal pelvis in pigs. Method and normal pattern. Invest Urol 14: 465–471PubMedGoogle Scholar
  12. Eiseman B, Vivian C, Vivian J (1955) Fluid and electrolyte changes following relief of obstruction. J Urol 74: 222–226PubMedGoogle Scholar
  13. Gillenwater JY (1979) Hydronephrosis induced changes in renal haemodynamics and function. Cardiovasc Med 4: 701–728Google Scholar
  14. Gosling JA, Dixon JS (1978) Functional obstruction of the ureter and renal pelvis. A histological and electron microscopic study. Br J Urol 50: 145–152PubMedCrossRefGoogle Scholar
  15. Gosling JA, Dixon JS (1982) The structure of the normal and hydronephrotic upper urinary tract. In: O’Reilly PH, Gosling JA (eds) Idiopathic hydronephrosis. Springer, Berlin Heidelberg New York, pp 1–15CrossRefGoogle Scholar
  16. Gottschalk CW, Myelle M (1957) Tubular pressure gradients in proximal and distal tubules and peritubular capillaries of the rat during osmotic diuresis. Am J Physiol 189: 323–328PubMedGoogle Scholar
  17. Harris RH, Yarger WE (1977) Urine—reinfusion natriuresis: evidence for potent natriuretic factors in rat urine. Kidney Int 11: 93–105PubMedCrossRefGoogle Scholar
  18. Holden D, George NJR, Rickards D, Barnard RJ, O’Reilly PH (1984) Renal pelvic pressures in human chronic obstructive uropathy. Br J Urol 56: 565–570PubMedCrossRefGoogle Scholar
  19. Hsu CH, Kurtz TW, Rosenzweig J et al. (1978) Intrarenal haemodynamics and renal function in post obstructive uropathy. Invest Urol 15: 348–351PubMedGoogle Scholar
  20. Huland H, Gonnerman D, Leichtweiss HP, Dietrich Hennings R (1983) Reversibility of preglomerular active vasoconstriction in the first few weeks after complete unilateral ureteral obstruction by inhibition of prostaglandin synthesis. J Urol 130: 820–824PubMedGoogle Scholar
  21. Jaenike JR (1970) The renal response to ureteral obstruction: a model for the study of factors which influence glomerular filtration pressure. J Lab Clin Med 76: 373–382PubMedGoogle Scholar
  22. Jaenike JR (1972) The renal functional defect of post obstructive nephropathy. The effects of bilateral ureteral obstruction in the rat. J Clin Invest 51: 2999–3006PubMedCrossRefGoogle Scholar
  23. Kerr WS (1954) Effect of complete ureteric obstruction for one week on opposite kidney function. J Appl Physiol 6: 762PubMedGoogle Scholar
  24. Kiil F (1957) The function of the ureter and renal pelvis. Oslo, Oslo University PressGoogle Scholar
  25. Moody TE, Vaughan ED, Gillenwater JY (1975) Relationship between renal blood flow and ureteral pressure during 18 hours of total ureteral obstruction. Implications for changing sites of increased renal resistance. Invest Urol 13: 246–251PubMedGoogle Scholar
  26. Morrison AR, Nishikawa K, Needleman P (1977) Unmasking of thromboxane A2 synthesis by ureteral obstruction in the rabbit kidney. Nature 267: 259PubMedCrossRefGoogle Scholar
  27. Murphy GP, Scott WW (1966) The renal haemodynamic response to acute and chronic ureteral obstruction. J Urol 95: 636PubMedGoogle Scholar
  28. Peterson LJ, Yarger WE, Schocken DD et al. (1975) Post obstructive diuresis: a varied syndrome. J Urol 113: 190–194PubMedGoogle Scholar
  29. Provoost AP, Molenaar JC (1981) Renal function during and after a temporary complete unilateral ureter obstruction in rats. Invest Urol 18: 242–246PubMedGoogle Scholar
  30. Rask Andersen H, Djurhuus JC (1976) Development of a probe for endoureteral investigation of peristalsis by flow velocity and cross section area management. Acta Chir Scand [Suppl] 59: 472Google Scholar
  31. Rattner RA, Fink S, Murphy JJ (1957) Pressure studies in the human ureter and renal pelvis. J Urol 78: 359–364PubMedGoogle Scholar
  32. Rose JG, Gillenwater JY (1973) Pathophysiology of ureteral obstruction. Am J Physiol 225: 830PubMedGoogle Scholar
  33. Ross JA, Edmond P, Coull J, Griffith J (1967) Observations on the physiology of the human renal pelvis and ureter. J Urol 97: 449–452PubMedGoogle Scholar
  34. Roussak NJ, Oleesky S (1954) Water losing nephritis. A syndrome simulating diabetes insipidus. Q J Med 23: 147–150Google Scholar
  35. Safirstein R, Wright ES (1974) Renal vessel and tubule pressures during and after obstruction of one or both ureters. Fed Proc 34: 393Google Scholar
  36. Schweitzer FAW (1973) Intrapelvic pressure and renal function studies in experimental chronic partial ureteric obstruction. Br J Urol 45: 2PubMedCrossRefGoogle Scholar
  37. Shapiro SR, Bennett AH (1976) Recovery of renal function after prolonged unilateral ureteral obstruction. J Urol 115: 136–140PubMedGoogle Scholar
  38. Underwood WE (1937) Recent observations on the pathology of hydronephrosis. Proc R Soc Med 30: 817PubMedGoogle Scholar
  39. Vaughan ED, Gillenwater JY (1971) Recovery following complete chronic unilateral ureteral occlusion. Functional radiographic and pathological alterations. J Urol 106: 27PubMedGoogle Scholar
  40. Vaughan ED, Gillenwater JY (1973) Diagnosis characteristics and management of postobstructive diuresis. J Urol 109: 286–292PubMedGoogle Scholar
  41. Vaughan ED, Sorensen EJ, Gillenwater JY (1970) The renal haemodynamic response to chronic unilateral complete ureteral occlusion. Invest Urol 8: 78–90PubMedGoogle Scholar
  42. Weinberg SL (1974) Ureteral function. I. Invest Urol 12: 103PubMedGoogle Scholar
  43. Weinberg SL (1975) Ureteral function II. Invest Urol 12: 255PubMedGoogle Scholar
  44. Weinberg SL (1976) Ureteral function III. Invest Urol 13: 339PubMedGoogle Scholar
  45. Weiss RM (1979) Clinical implications of ureteral physiology. J Urol 121: 401–413PubMedGoogle Scholar
  46. Wright FS (1982) Effects of urinary tract obstruction on GFR and renal blood flow. In: Iahr K (ed) Seminars in nephrology: obstructive uropathy. Grune and Stratton, New YorkGoogle Scholar
  47. Yarger WE, Griffith LD (1974) Intrarenal haemodynamics following chronic unilateral obstruction in the dog. Am J Physiol 227: 816–826PubMedGoogle Scholar
  48. Yarger WE, Aynedjian HS, Bank N (1972) A micropuncture study of post obstructive diuresis in the rat. J Clin Invest 51: 625–637PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1986

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  • P. H. O’Reilly

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