Objective: The purpose of this study was to compare the yield of non-contrast enhanced CT KUB in patients with suspected renal colic across different ordering specialties. Materials and methods: We conducted a retrospective assessment of 130 consecutive CT KUB tests that were ordered for suspected renal colic at Bahria Town International Hospital Karachi in the previous year. The demographic parameters, referring clinician, and ultimate diagnosis of the participants were all examined in the data. We included only individuals who had CT scans as the first line of treatment for clinically suspected reno-ureteral colic. A total of three divisions of departments placed orders for these CT KUB examinations: urologists, emergency room (ER) physicians, and others. Results: The inclusion criteria were met by 96 out of 130 CT KUB procedures done in the previous year. The mean age of the patients was 33 years and 11 months, and the vast majority (87 percent, or n=83) were male. Urologists ordered the greatest number of CT KUBs (59 percent), followed by emergency room physicians (23 percent), and others (18 percent ). Almost 70% of patients complained of flank pain, which was followed by generalised stomach pain and LUTs in a few cases. 71 percent (n =68) of patients with urolithiasis had a positive result in the study. 65 percent of urologists (n=44) have a good yield, with others (n=13) coming in second and emergency room physicians (16 percent, n=11) coming in third, respectively; p = 0.05 A total of 96 CT KUB tests were performed, with 53 percent (n = 51) revealing secondary symptoms of blockage. Accidental finds accounted for 33 percent (n = 32) of all results, with the majority (n = 19) being genitourinary in nature, followed by extra-genitourinary in nature (n = 13). Conclusion: Across specialties, there is a statistically significant variance in the amount of yield. In the case of suspected urolithiasis, a CT KUB scan should be performed as a first imaging modality in consultation with the urologists. A thorough history taking and physical examination have proven to be critical measures in ordering CT KUB, which can help to reduce needless radiation exposure to the patient.
Background: Unusual genitourinary activity is categorized by the genital deposit of foreign objects. It has been known for centuries and common etiological factors include sexual stimulation. Psychiatric disorders and intoxication may also be associated. Foreign body retrieval and the evaluation of psychosocial factors are involved in management. This study intends to present a 'hair pin' case as a foreign body in the bladder. Methodology: A 25-year-old female presented to the urology outpatient clinic in early pregnancy with a history of manually inserting hairpin into the urinary bladder through her urethra four years back. She lost to follow up during pregnancy and then presented again after C-section. A plain abdominal film of the kidneys, ureters, and bladder (KUB) confirmed the location of the hairpin and large stone around it in the urinary bladder. Results: The patient underwent endoscopic removal of foreign body and stone. At cystoscopy urethra was normal, but in the urinary bladder, there was a hairpin with stone formation at its proximal end, and distal portion of the hairpin was embedded in the bladder neck. The hairpin was pushed back in the bladder to separate from the bladder neck, followed by stone fragmentation using a stone punch. After complete removal of stones, the hairpin was aligned in the line of the urethra and removed with the help of forceps. Conclusion: Depending on the nature of the foreign body and available expertise, methods for removing intravesical foreign bodies are opted. Mostly endoscopic techniques are used for retrieval of intravesical foreign bodies without resorting to open surgery.
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