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Radiology

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Obstructive Uropathy

Abstract

Woelckner and von Lichtenberg first demonstrated the practicability of urinary tract visualisation by radiography using the retrograde method in 1906. Their efforts were followed by several trials with toxic parenteral agents before Dr. Moses Swick reported the first successful intravenous urogram, using Uroselectan, 17 years later. Since that time, significant innovations in renal imaging have taken place as a result of the development of ultrasound, nuclear medicine, CT scanning and magnetic resonance imaging. They have been accompanied by an almost subliminal suggestion that these modalities might in some way be a replacement for the traditional intravenous urogram. Not many urologists would subscribe to this view. Any doubts about the value of the urogram derive from attempts to ask too much of it and failure to appreciate its limitations. Its role has certainly changed in the past decade from being virtually the only available imaging procedure for the diagnosis and monitoring of renal disease to being one of several options. Ultrasound is the simplest technique for the detection of urinary tract dilatation, but intravenous urography is the most comprehensive single screening test in urological practice, and especially obstructive uropathy.

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Authors
  1. P. H. O’Reilly
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  2. D. Rickards
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Editor information

Editors and Affiliations

  1. Department of Urology, Stepping Hill Hospital, Stockport, SK2 7JE, Cheshire, England

    P. H. O’Reilly MD, FRCS (Consultant Urological Surgeon) (Consultant Urological Surgeon)

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© 1986 Springer-Verlag Berlin Heidelberg

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O’Reilly, P.H., Rickards, D. (1986). Radiology. In: O’Reilly, P.H. (eds) Obstructive Uropathy. Springer, London. https://doi.org/10.1007/978-1-4471-1380-5_3

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  • DOI: https://doi.org/10.1007/978-1-4471-1380-5_3

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1382-9

  • Online ISBN: 978-1-4471-1380-5

  • eBook Packages: Springer Book Archive

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