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  • Title: [Treatment of renal hypertension by nephrectomy in persons over 40 years of age].
    Author: Wagner W, Boeminghaus F.
    Journal: Dtsch Med Wochenschr; 1975 Feb 21; 100(8):355-7. PubMed ID: 1116454.
    Abstract:
    42 patients aged over 40 years at the time of nephrectomy (between 1961 and 1972) for unilateral renal disease and arterial hypertension were re-investigated. The WHO criteria for normotensive and hypertensive blood pressure levels were used. Systolic and diastolic pressures returned to normal after nephrectomy in 15 patients, systolic pressure alone in nine. Systolic and diastolic pressures remained unchanged in twelve. When grouped by histological criteria, only patients with small pyelonephritis kidney improved significantly, while those with pyelonephritis, arteriolosclerosis and renal-artery stenosis did not. It is concluded that patients aged over 40 years who have hypertension associated with unilateral renal disease may benefit from nephrectomy, especially if they have a small pyelonephritic kidney.
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