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PAEDIATRIC UROLOGY

5.2.6 Whitaker's test

Whitaker's test is carried out as an optional antegrade pressure flow study if diagnosis of obstruction is obscure. The measurement involves continuous perfusion of the renal pelvis via a percutaneous puncture or, if necessary, nephrostomy. Shortcomings of Whitaker's test are the unphysiologically high perfusion rate, lack of normal ranges in children, dependence on the examiner and the invasiveness of the procedure.

Table 3: Follow-up of prenatally diagnosed dilatation of the upper urinary tract

1.-2.Dayoflife

Ultrasound

No dilatation

1

Dilatation

-+

3. -5. Day of life

repeated ultrasound

I

Bilateral

Unilateral

No dilatation

I

, ultrasound control

3. -5. Day of life VCUG (urethral valves?)

2. -3. Week VCUG (reflux)

r

4. -6. Week Scintigraphy IVP (optional)