Prostatism, Intravenous Urography and Asymptomatic Renal Cancer

Brooks, A.P.

doi:10.1111/j.1464-410x.1988.tb04253.x

Cited by 18 publications

(9 citation statements)

References 26 publications

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“…In many previous reports a major argument in the favour of routine use of IVU in patients with bladder outlet obstruction was to search for asymptomatic upper tract abnormalities possibly ''renal cancers and upper renal tract transitional cell carcinoma'' [13].…”

Section: Discussionmentioning

confidence: 99%

Value of Routine Renal and Abdominal Ultrasonography in Patients Undergoing Prostatectomy

Rafique

2006

Int Urol Nephrol

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The study shows that a sizeable number of patients (44%) had urological and non-urological conditions detected by renal and abdominal ultrasonography. Most patients had benign conditions but three of these patients had potentially life threatening conditions (renal, bladder and hepatic carcinoma) detected by sonography that were unrelated to the prostate. However, in only one patient (0.4%) with bladder carcinoma, surgery for prostate was postponed and bladder tumour was dealt with prior to transurethral resection of prostate (TURP). Various conditions detected by ultrasonography would have been missed if it had not been performed. As ultrasonography is a non-invasive, cost-effective and quite a safe imaging technique, in author's opinion abdominal and renal tract evaluation by ultrasonography should be routinely performed in patients undergoing surgery for BPH.

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Section: Discussionmentioning

confidence: 99%

Value of Routine Renal and Abdominal Ultrasonography in Patients Undergoing Prostatectomy

Rafique

2006

Int Urol Nephrol

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“…The routine use of IVU is not recommended [5,7,10,16,[19][20][21][22]. In patients who have hematuria or atypical histories, IVU may be warranted.…”

Section: Radiographymentioning

confidence: 99%

“…These include radiography, intravenous urography (IVU), urethrography, both transabdominal and transrectal ultrasonography, CT and MRI [1,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. With the coming reengineering of health care, selective use of these modalities will be required to decrease costs and practice efficient, effective medicine [16].…”

Section: Summary Of Literature Reviewmentioning

confidence: 99%

ACR Appropriateness Criteria® on Obstructive Voiding Symptoms Secondary to Prostate Disease

Dighe

Francis

Casalino

et al. 2010

Journal of the American College of Radiology

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“…We have therefore evaluated 54 men undergoing treatment for uncomplicated BPH to see if IVU is mandatory to detect any upper tract abnormality and to see if it has made any significant contribution to the treatment plan. Traditionally, the need for IVU was assessed by the upper tract abnormality detected [2]. However, in addition to this, we have assessed the RPI seen on IVU films with the DEP and with the route of prostatectomy.…”

mentioning

confidence: 99%

“…IVU has been commonly performed prior to surgery; the rationale of which is debatable. In developed countries, the use of IVU as a preoperative investigation in BPH management is dwindling due to the lack of additional information obtained and infrequent upper tract pathology [2][3][4][5][6]. In developing countries around the Middle East, even though the health care is fairly extensive, the elderly male population may not have had adequate medical care throughout their lives and hence there may be undetected upper tract disease.…”

mentioning

confidence: 99%

Is Intravenous Urography Mandatory in the Management of Benign Prostatic Hyperplasia?

et al. 1992

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Fifty-four consecutive patients with uncomplicated benign prostatic hyperplasia (BPH) underwent intravenous urography (IVU) and ultrasonography (US) to observe the benefits of IVU over US. The parameters used were upper tract abnormalities detected on both modalities and the influence of radiological prostatic impression (RPI) on the route of surgery and its comparison to digitally estimated prostatic size (DEP). Both RPI and DEP were compared to the adenoma weight (AW). Correlation of RPI and DEP was excellent (87.5%) in grade III but poor in grades I and II. RPI and AW correlated well in grade III (100%) and was also significant in grades I and II, whereas DEP correlated well with AW in all grades. Both RPI and DEP could predict the route of prostatectomy accurately in grades I and III, whereas in grade II, RPI was marginally better in predicting the route. There was no upper tract abnormalities that were detected on IVU and missed by US. In conclusion, IVU did not add any additional information beyond that obtained by rectal examination and US to alter the surgical approach and hence the routine use of urography in uncomplicated BPH should be questioned in Saudi Arabia. Benign prostatic hyperplasia (BPH) is the most common urological problem in patients over the age of 60-years. Approximately 20% to 25% of men over the age of 50-years may require prostatic surgery [1]. IVU has been commonly performed prior to surgery; the rationale of which is debatable. In developed countries, the use of IVU as a preoperative investigation in BPH management is dwindling due to the lack of additional information obtained and infrequent upper tract pathology [2][3][4][5][6]. In developing countries around the Middle East, even though the health care is fairly extensive, the elderly male population may not have had adequate medical care throughout their lives and hence there may be undetected upper tract disease. For example, bilharziasis is rampant in the Middle East and could afflict the elderly population and may remain asymptomatic. We have therefore evaluated 54 men undergoing treatment for uncomplicated BPH to see if IVU is mandatory to detect any upper tract abnormality and to see if it

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Prostatism, Intravenous Urography and Asymptomatic Renal Cancer

Cited by 18 publications

References 26 publications

Value of Routine Renal and Abdominal Ultrasonography in Patients Undergoing Prostatectomy

Value of Routine Renal and Abdominal Ultrasonography in Patients Undergoing Prostatectomy

ACR Appropriateness Criteria® on Obstructive Voiding Symptoms Secondary to Prostate Disease

Is Intravenous Urography Mandatory in the Management of Benign Prostatic Hyperplasia?

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