Predicting Parameters of Renal Function Recoverability after Obstructive Uropathy Treatment in Adults

Obstructive uropathy can have many causes and can manifest as supravesical, vesical, or infravesical levels of obstruction. Treatment of obstructive uropathy, whether definitive or temporary, has a risk of complications or could worsen the patient’s quality of life. Thus, knowledge of the parameter...

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Main Authors: William Saputra Wijaya, Gampo Alam Irdam, Fakhri Rahman
Format: Article
Language:English
Published: Interna Publishing 2022-09-01
Series:Acta Medica Indonesiana
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Online Access:http://www.actamedindones.org/index.php/ijim/article/view/1552
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author William Saputra Wijaya
Gampo Alam Irdam
Fakhri Rahman
author_facet William Saputra Wijaya
Gampo Alam Irdam
Fakhri Rahman
author_sort William Saputra Wijaya
collection DOAJ
description Obstructive uropathy can have many causes and can manifest as supravesical, vesical, or infravesical levels of obstruction. Treatment of obstructive uropathy, whether definitive or temporary, has a risk of complications or could worsen the patient’s quality of life. Thus, knowledge of the parameters that predict recoverability of renal function after obstructive uropathy treatment is essential for patients and their families. Several studies have evaluated many factors that might potentially predict recoverability of renal function after obstruction release and these essentially are divided into factors predicting unilateral or bilateral obstruction. Almost all unilateral obstruction studies used ureteropelvic junction obstruction cases as their subjects and utilized nuclear scan renography to evaluate kidney recoverability. Factors confirmed as predicting factors for recoverability of renal function were age, hemoglobin level, BUN-to-creatinine ratio, postoperative urine volume and sodium excretion, cortical thickness, type of renal pelvis, hydronephrosis grade, corticomedullary differentiation, parenchymal echogenicity, renal resistive index, and initial kidney function. Thus, these studies all had different criteria for defining the recovery of renal function, and this might explain the differences observed from study to study.
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spelling doaj-art-df880f1254bd486ba79e2d7a150f3d3d2025-08-20T03:27:21ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322022-09-01543Predicting Parameters of Renal Function Recoverability after Obstructive Uropathy Treatment in AdultsWilliam Saputra Wijaya0Gampo Alam Irdam1Fakhri Rahman2Department of Urology, Adam Malik Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDepartment of Urology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Urology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia Obstructive uropathy can have many causes and can manifest as supravesical, vesical, or infravesical levels of obstruction. Treatment of obstructive uropathy, whether definitive or temporary, has a risk of complications or could worsen the patient’s quality of life. Thus, knowledge of the parameters that predict recoverability of renal function after obstructive uropathy treatment is essential for patients and their families. Several studies have evaluated many factors that might potentially predict recoverability of renal function after obstruction release and these essentially are divided into factors predicting unilateral or bilateral obstruction. Almost all unilateral obstruction studies used ureteropelvic junction obstruction cases as their subjects and utilized nuclear scan renography to evaluate kidney recoverability. Factors confirmed as predicting factors for recoverability of renal function were age, hemoglobin level, BUN-to-creatinine ratio, postoperative urine volume and sodium excretion, cortical thickness, type of renal pelvis, hydronephrosis grade, corticomedullary differentiation, parenchymal echogenicity, renal resistive index, and initial kidney function. Thus, these studies all had different criteria for defining the recovery of renal function, and this might explain the differences observed from study to study. http://www.actamedindones.org/index.php/ijim/article/view/1552hydronephrosisobstructive uropathypredicting factorrecoverabilityrenal function
spellingShingle William Saputra Wijaya
Gampo Alam Irdam
Fakhri Rahman
Predicting Parameters of Renal Function Recoverability after Obstructive Uropathy Treatment in Adults
Acta Medica Indonesiana
hydronephrosis
obstructive uropathy
predicting factor
recoverability
renal function
title Predicting Parameters of Renal Function Recoverability after Obstructive Uropathy Treatment in Adults
title_full Predicting Parameters of Renal Function Recoverability after Obstructive Uropathy Treatment in Adults
title_fullStr Predicting Parameters of Renal Function Recoverability after Obstructive Uropathy Treatment in Adults
title_full_unstemmed Predicting Parameters of Renal Function Recoverability after Obstructive Uropathy Treatment in Adults
title_short Predicting Parameters of Renal Function Recoverability after Obstructive Uropathy Treatment in Adults
title_sort predicting parameters of renal function recoverability after obstructive uropathy treatment in adults
topic hydronephrosis
obstructive uropathy
predicting factor
recoverability
renal function
url http://www.actamedindones.org/index.php/ijim/article/view/1552
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AT gampoalamirdam predictingparametersofrenalfunctionrecoverabilityafterobstructiveuropathytreatmentinadults
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