Shi Weifeng,Fu Guang,Ju Yanhe,Chen Guoqing,Zha Lihua,Shi Wenbo,Liao Limin.Diagnosis and treatment of hydronephrosis caused by diabetes insipidus: report of 10 cases and literature review[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(06):523-526.
Shi Weifeng,Fu Guang,Ju Yanhe,Chen Guoqing,Zha Lihua,Shi Wenbo,Liao Limin.Diagnosis and treatment of hydronephrosis caused by diabetes insipidus: report of 10 cases and literature review[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(06):523-526.DOI:
Objective To analyze the clinical characteristics of patients with hydronephrosis caused by diabetes insipidus. Methods Clinical data from 10 patients with diabetes insipidus causing bilateral ureter dilatation and bilateral hydronephrosis in our hospital from January 2011 to July 2014 were retrospectively analyzed
and the law of diagnosis and treatment was summarized. Results Polyuria
polydipsia symptom
urine specific gravity
urine osmotic pressure
water deprivation vasopressin test
and minirin diagnostic treatment had diagnostic values for diabetes insipidus. Central diabetes insipidus was treated with desmopressin acetate tablets
and nephrogenic diabetes insipidus was treated with natriuretic drugs plus drinking water restriction and timed urination to reduce the volume of the produced urine and ultimately improve the hydronephrosis. Conclusion Diabetes insipidus usually has longer course of disease and high misdiagnosis rate
and correct diagnosis helps to reduce unnecessary surgical intervention. Anti-diuretic therapy is effective for alleviating urinary tract dilatation and hydronephrosis caused by diabetes insipidus.