OBJECTIVE: To evaluate the results of nephropexy in patients with a diagnosis of symptomatic mobile kidney that had been established by dynamic sonography with provocation of pain. DESIGN: Prospective study. SETTING: University hospital, Sweden. SUBJECTS: 19 consecutive patients with symptomatic right-sided mobile kidney and 6 controls who had urographically mobile kidneys but no pain. INTERVENTIONS: Dynamic sonography and dislocation of the kidney by manipulation. All 19 patients experienced pain on manipulation and the 6 controls did not. The 19 patients were treated by nephropexy and followed for at least four years postoperatively. MAIN OUTCOME MEASURE: Relief of pain after nephropexy. RESULTS: In 16/19 patients the pain was relieved by nephropexy. CONCLUSION: Dynamic ultrasound is useful in correlating the abnormal position of the kidney with pain, and successfully indicates those patients whose symptoms will be relieved by nephropexy.
OBJECTIVE: To evaluate the results of nephropexy in patients with a diagnosis of symptomatic mobile kidney that had been established by dynamic sonography with provocation of pain. DESIGN: Prospective study. SETTING: University hospital, Sweden. SUBJECTS: 19 consecutive patients with symptomatic right-sided mobile kidney and 6 controls who had urographically mobile kidneys but no pain. INTERVENTIONS: Dynamic sonography and dislocation of the kidney by manipulation. All 19 patients experienced pain on manipulation and the 6 controls did not. The 19 patients were treated by nephropexy and followed for at least four years postoperatively. MAIN OUTCOME MEASURE: Relief of pain after nephropexy. RESULTS: In 16/19 patients the pain was relieved by nephropexy. CONCLUSION: Dynamic ultrasound is useful in correlating the abnormal position of the kidney with pain, and successfully indicates those patients whose symptoms will be relieved by nephropexy.