Advances in Diagnostic Urology by A. N. Dardenne, P. Bodart, P. J. Van Cangh (auth.), Claude

By A. N. Dardenne, P. Bodart, P. J. Van Cangh (auth.), Claude C. Schulman M. D. (eds.)

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1979). b Left-sided pharmacophlebogram: almond-sized tumor thrombus in narrowed renal vein (arrow). Reduction ofintrarenal venous system in upper portion. Marked capsular veins (Braedel et al. 1979). Contribution ofPhlebography to the Diagnosis ofNonfunctioning Kidneys 21 Discussion Renal agenesis and dysgenesis are often incidentally discovered during routine investigations. IVP and cystoscopy may provide some diagnostic hints, but the renal parenchyma cannot even be judged by retrogade pyelography in the presence of a blind-ending ureter.

There are powerful physiological mechanisms for maintaining this differential, particularly by countercurrent he at exchange between venous blood leaving the scrotum and arterial blood entering the testis. If this normal temperature gradient is abolished, for example by heating or insulating the scrotum or by returning the testes to the abdominal cavity, spermatogenesis is depressed and may eventually ce ase (for a comprehensive review, see Setchell 1978). Varicocele is caused by reversal ofblood flow in the internal spermatic vein (Ahlberg et al.

If this normal temperature gradient is abolished, for example by heating or insulating the scrotum or by returning the testes to the abdominal cavity, spermatogenesis is depressed and may eventually ce ase (for a comprehensive review, see Setchell 1978). Varicocele is caused by reversal ofblood flow in the internal spermatic vein (Ahlberg et al. 1966; Brown et al. 1967); this interferes with the normal circulation of blood in the scrotum and produces an increase in temperature, the extent of which depends on the severity of the varicocele (Kormano et al.

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