Ultrasonography compared with intravenous urography in the investigation of adults with haematuria.

Spencer, John; Lindsell, D. R. M.; Mastorakou, I.

doi:10.1136/bmj.301.6760.1074

Cited by 32 publications

(11 citation statements)

References 19 publications

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“…Urothelial tumors of the upper renal tract are rare compared with bladder tumors and most ureteric tumors present upper tract dilatation, which would be identified by ultrasonography (19). In the present study no synchronous upper renal tract tumor was found.…”

Section: Resultscontrasting

confidence: 45%

Role of intravenous urography and transabdominal ultrasonography in the diagnosis of bladder carcinoma

Rafique¹,

Javed²

2004

Int. braz j urol.

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Introduction: The present study was carried out to compare the efficacy of transabdominal ultrasonography and intravenous urography in the diagnosis of bladder carcinoma in those patients presenting painless hematuria.Materials and Methods: Medical records of 100 patients who had both ultrasonography and intravenous urography were studied. The reported findings of these investigations were correlated with those of cystoscopy.Results: Ultrasonography was significantly more sensitive (96%) in the detection of bladder carcinoma compared to urography (87%). By applying the test of equality of proportions, the value of Z is 2.28, which is statistically significant (p < 0.01). In addition, ultrasonography was more sensitive in clarifying the pathology in upper renal tracts i.e. ureteric obstruction secondary to bladder carcinoma when urography failed due to none or poor excretion of contrast.Comments: We recommend the use of ultrasonography as the initial radiological investigation for detection of bladder carcinomas in patients presenting hematuria. Ultrasonography is safe, easily available, cost effective and provides images of both upper and lower renal tract. Patients diagnosed to be suffering from bladder carcinoma by ultrasonography should be scheduled directly and promptly for cystoscopy and bladder tumor resection.

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Section: Resultscontrasting

confidence: 45%

Role of intravenous urography and transabdominal ultrasonography in the diagnosis of bladder carcinoma

Rafique¹,

Javed²

2004

Int. braz j urol.

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“…While Spencer et al [65] reported that ultrasonography could reveal all the neoplastic lesions in 155 patients with hematuria, in a Japanese prospective study on 1,034 patients with asymp tomatic hematuria, ultrasonography could detect a blad der neoplasia only in 46% of positive cases, the sensitivity being very low, only 15°/o, in patients with bladder cancer [73]. In case of negative cytoscopy an echo-color Doppler may be suggested to investigate vascular abnormalities.…”

Section: Evaluation Of Microscopic Hematuriamentioning

confidence: 99%

“…Interestingly, in haematuria caused by this condi tion sickle cells can also be found in the urine [65a]. Final ly in this first screening an ultrasonography of kidneys, bladder and prostate as well as x-ray of abdomen are indi cated in order to rule out underlying urologic abnormali ties and to assess the kidney size and echogenicity [65],…”

Section: Evaluation Of Microscopic Hematuriamentioning

confidence: 99%

Microscopic Hematuria Diagnosis and Management

Fogazzi¹,

Ponticelli²

1996

Nephron

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“…Although other authors (8,9,11) have commented on the sensitivity of US in detecting bladder tumours, there is little doubt that the best investigation for ruling out bladder neoplasm is cystoscopy. The role of imaging, therefore, is in assessing the upper urinary tracts in order to complement cystoscopic examination of the bladder.…”

Section: Discussionmentioning

confidence: 95%

Role of i.v. urography in patients with haematuria

Mishra

Rowe

Rao

et al. 2004

Scandinavian Journal of Urology and Nephrology

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In this cohort of retrospectively studied patients attending a haematuria clinic, IVU could safely have been omitted without decreasing the overall detection of malignant pathologies. Nevertheless, significant non-malignant pathologies would have remained undiagnosed. The authors suggest that US combined with a MAG III renogram could be considered as a first-line investigation instead of IVU. This is likely to result in maximum detection of malignant and non-malignant conditions, while reducing the radiation exposure to the patient.

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Ultrasonography compared with intravenous urography in the investigation of adults with haematuria.

Cited by 32 publications

References 19 publications

Role of intravenous urography and transabdominal ultrasonography in the diagnosis of bladder carcinoma

Role of intravenous urography and transabdominal ultrasonography in the diagnosis of bladder carcinoma

Microscopic Hematuria Diagnosis and Management

Role of i.v. urography in patients with haematuria

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