Upper Urinary Tract Dilatation and Stones

  • B. P. Gardner
  • K. F. Parsons
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)


There has been a profound change in the survival of patients with spinal injuries since the advent of specialised units dedicated to the care of these unfortunate patients. Soon after the first world war, it became evident that renal failure as a result of upper urinary tract obstruction and/or urosepsis was the prime cause of mortality. The gratifying change in the mortality has been carefully recorded over the last 30 years. In 1961 it was found to be around 50% (Breithaupt et al. 1961). By 1968 the mortality figure had dropped to 36% (Jousse et al. 1968) and yet a further drop was found in 1973 at 30.8% (Geisler et al. 1977). Renal failure was still at this point the leading cause of death, and the death rate from it approximately three times that of the normal population.


Spinal Cord Injury Extracorporeal Shock Wave Lithotripsy Urinary Tract Obstruction Tract Dilatation Spinal Cord Injured Patient 
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© Springer-Verlag London 1991

Authors and Affiliations

  • B. P. Gardner
  • K. F. Parsons

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