Secondary hypertension accompanying high pressure chronic retention.
نویسندگان
چکیده
Two middle-aged men were referred for control of severe hypertension, presumed to be 'essential'. Late-onset enuresis, a small palpable bladder, and slight prostatic enlargement were elicited in one patient; history and examination were unremarkable in the other patient, apart from moderate prostatic enlargement. Intravenous urography revealed massive bilateral hydronephrosis with hydroureters in both patients. Surgical relief of retention was associated with post-obstructive diuresis and normalization of blood pressure, although recurrence of hypertension occurred later in one patient. These patients suffered from high pressure chronic retention, a syndrome characterized by impairment of renal function and hypertension. Surgical relief of retention was accompanied by prompt correction of hypertension, and gradual, sustained recovery of renal function.
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Year patients suggested powerful renal vasoconstriction, possibly due to neurogenic or humoral influences. The stimulus to this might be a raised renal pelvic pressure, although this is, however, appreciably lower than the bladder pressure measured concurrently.' Surgical relief of chronic retention was accompanied by a prompt and sustained rise in glomerular filtration rate and effective renal...
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عنوان ژورنال:
- Postgraduate medical journal
دوره 61 712 شماره
صفحات -
تاریخ انتشار 1985