[Progress in prevention and control of urological complications associated with carcinoma of the cervix. Third communication: Renographic representation of functional disorders of the upper urinary tract (author's transl)].

Reported in this paper is the use of isotope nephrography in longitudinal examinations of 151 patients with cervix carcinoma who had undergone radical abdominal or vaginal surgery in the Gynaecological Hospital of Charité Berlin, between 1971 and 1973. Also included were 140 patients whose carcinoma treatment dated back nine to 15 years. While functional disturbances of the upper urinary tract within the five-year follow-up period dropped continuously from about 29 to five per cent in recent time, persisting disorders of secretion and/or ureteral dynamics recorded in ING checks from 16.4 per cent of earlier carcinoma treatments. The number of pathological isotope nephrograms recorded presurgically from patients who eventually died of recurrent carcinoma had been five times as high (49 per cent) as that recorded from cured patients. Only to some extent had those findings been attributable to the given carcinoma stage. Routine ING (isotope nephrography) also helped to identify nine cases of carcinoma recurrence, and its systematic use facilitated just as many decisions on fistulation of the functionally better kidney in cases of imminent anuria (uraemia). Yet, as a whole voiding disorders of the upper urinary tracts have decreased in the authors' hospital, as compared to records in the past. That improved situations is attributed to progress in carcinoma therapy but even more to energetic early action against urinary tract infections and postsurgical impairment of bladder voiding as well as to high-continuity monitoring of renal and ureteral functions. ING, today, deserves a firm position in all after-care programmes following treatment of cervical carcinoma.