BMJ 2008; 337 doi: http://dx.doi.org/10.1136/bmj.a2266 (Published 28 October 2008) Cite this as: BMJ 2008;337:a2266
  1. Louise Dickinson, senior house officer,
  2. Andrew J Symes, specialist registrar,
  3. Kenneth M Anson, consultant
  1. 1department of urology, St George’s Hospital NHS Trust, London SW17 0QT
  1. ldickinson{at}doctors.org.uk

    A 78 year old man presented in acute renal failure with bilateral hydronephrosis. Examination showed a …

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