"Non-functioning” Kidneys in Excretory Urography: Caution is the word!

Ajape AA1 , Kura M2, Ibrahim AG2 Affi liation: 1- Division of Urology, Department of Surgery, University of Ilorin Teaching

Hospital, Ilorin 2- Department of Surgery, Federal Medical Centre, Gombe. Corresponding author: Dr. Abdulwahab A Ajape P.O. Box

4850, Ilorin. Kwara state. E-mail: ajsnrkudimoh@yahoo.co.uk, ajsnrkudimoh@gmail.com

 

Summary

Significant loss of renal function is objectively diagnosed with radioisotope renal scintigraphy. In many developing countries radioisotope study is not readily available and the diagnosis of non-functioning kidney is often based on intravenous urography. We retrospectively reviewed the case notes of three patients that were diagnosed with ‘non-functioning’ kidneys based on intravenous contrast renal imaging but had salvage procedure for the renal moiety. In the absence of radioisotope study, some restrain is advocated for nephrectomy, for ‘non-functioning kidney’, based solely on the result of intravenous urography.

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