Renal Ptosis and Its Treatment

Influence of Postural Changes on the Glomerular Filtration Rate in Nephroptosis

“…The right kidney is involved in 70%, the left in 10%, and both kidneys in 20% of cases. However, only 20 per cent of patients with this abnormality complain of urinary symptoms and the rest are either asymptomatic or have symptoms unrelated to the kidney (2,3). For these reasons, the role of nephroptosis in the pathogenesis of disease has undergone considerable debate.…”

“…For these reasons, the role of nephroptosis in the pathogenesis of disease has undergone considerable debate. At one time some physicians considered this condition to be highly significant clinically, whereas others regarded it as an unimportant anomaly (2,3). However, renal ptosis is at times treated by nephropexy without considering the real influence of this condition on renal function.…”

Loin Pain and Haematuria Syndrome (LPHS) Linked to Symptomatic Nephroptosis (SN) and Revealing Pedicle Stretch Causing Neuro-Ischaemia Using the New IVU 7 Sign

“…Although, these causes, and rarely UTI, may contribute to the establishment of pyelocalyctaisis, [13][14][15] the lesion seems primarily ischemic [10][11][12]. The link of SN with LPHS was illusive and overlooked, particularly when the ischemic complications of auto-nephropexy, auto-nephrectomy and sympathetic nephroplegia involving the normal contra-lateral kidney occurred insidiously over many years [1].…”

“…Retrograde pyelography findings (Figure 8 & 9) have not previously been documented in either condition. The use of IVU started early in the 20th century while clinical evidence on the genuineness of SN pain dated back to the 15th century [15][16][17]. Loin pain hematuria syndrome was reported in 19675 while Dietl's crisis is known for centuries.…”

Floating kidney

“…It is a condition that typically afflicts thin women. It is estimated that 20% of women on dynamic imaging tests have evidence of nephroptosis; however, the majority are asymptomatic 3. An absence of perirenal fat has been hypothesised as the reason for the condition.…”