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Title: /sup 125/I-hippuran absorption from the human renal pelvis

Journal Article · · J. Urol.; (United States)
OSTI ID:5020540

The absorption of /sup 125/I-hippuran from human renal pelvis was studied peroperatively in 18 patients with obstruction at the pelviureteric junction. Three types of experiment were included: absorption during induced diuresis, absorption at a constant intrapelvic pressure of 30 cm. H/sub 2/O, and excretion of the indicator by the contralateral kidney. Total and separate glomerular filtration rate were measured using /sup 51/Cr-EDTA clearance technique and isotope renography. Distal tubular function was evaluated as maximum concentration ability. During induced diuresis the intrapelvic pressure increased to an average maximum value of 31.6 cm. H/sub 2/O. The excretion of isotope from the contralateral kidney varied from one to 44% of the given dose. A significant correlation (r = 0.87) between the maximum intrapelvic pressure obtained and the amount of isotope excreted from the contralateral kidney was demonstrated. At a constant intrapelvic pressure of 30 cm. H/sub 2/O the excretion of isotope from the contralateral kidney varied from two to 26% of the dosage given. The low value probably depended on the impaired function of the obstructed kidney. Our results show the existence of a significant reflux from the renal pelvis of small molecules, which was affected by renal function, intrapelvic pressure and volume.

Research Organization:
Sahlgrenska Sjukhuset, Goeteborg, Sweden
OSTI ID:
5020540
Journal Information:
J. Urol.; (United States), Vol. 3
Country of Publication:
United States
Language:
English