Urologic problems in nephrology

Abstract

We have evaluated the character and peculiarities of urologic diseases in patients with nephrological diagnoses and marked out several groups of combinations: I group: nephrological masks of urologic diseases. Example: tumour of the kidney (haematuria) was primarely diagnosed as chronic glomerulonephritis. II group: combination of urological and nephrological diagnoses. Example: chronic glomerulonephritis combined with nephroptosis. III group: double combined process. Example: simultaneous coexistence of chronic glomerulonephritis with pyelonephritis and nephroptosis or - combination of chronic glomerulonephritis with pyelonephritis and nephrolithiasis. IV group: general diagnoses which cannot be considered as final and demand precise definition - pyeloectasia, hematuria of unclear genesis, purine metabolism disturbances, recurrent urinary pathways infection and others. V group: urologic and andrological complications of cytostatic or steroid therapy of nephrological diseases. Example: development of hemorrhagic cystitis, infertility in young men, pyelonephritis as an additional disorder. Selection of these groups provides us with better evaluation of combination of urological disturbances and peculiarities of simultaneous diseases in patients with nephrological diagnoses.