RESUMO
A total of 78 females whose complaints failed to fit the scope of known urological and gynecological disorders were under study. Beside the routine patterns, the multiple modality diagnostic technique included radionuclide investigation of the kidneys, determination of the hormonal profile, thermographic examination of inner genital organs, echo scanning of the kidneys and genital organs, hysterosalpingography, simultaneous performance of excretory urography and transuterine pelvic phlebography. X-ray anatomical examinations revealed that the lower part of the ureter was entangled by vaginouterine veins. The side of urodynamic disorders corresponded to that of more manifest varicosis. In those with bilateral disorders more manifest dilatation of the upper urinary tract was noted on the side where varicosis was more pronounced. Based on the data analysis, the authors concluded that simultaneous uro- and phlebographic examinations not only revealed the status of the upper urinary tract, intra- and extraorganic venous systems but promoted a reliable detection of the reasons for urodynamic disorders: the compression due to the enlarged disposed organ or dilated venous vessels. The data on the agreement between of the varicosis-affected side and that of the urine passage through the upper tract was impaired in all patterns of "pelvic varicocele" enables one to reveal some pathogenetic urodynamic failures in females. It can be concluded that simultaneous excretory urography and transuterine pelvic phlebography provide an extensive information on the upper urinary tract, internal genital organs and the pelvic venous system. The method is easily performed in the outpatient settings, avoids serious complications and can be regarded as a prospective additional technique for the examination of females with a gynecological history during urological care.
