Should ultrasound replace CT for asymptomatic hematuria?

The combination of renal ultrasound and cystoscopy is the most cost-effective...Read more on AuntMinnie.comRelated Reading: Sharing best practices cuts CT dose substantially Blunt abdominopelvic trauma algorithm cuts CT use in ER Apply Formula 1-type methods to smooth the way in urogenital emergencies Study: Hold the contrast for CT of asymptomatic hematuria Study finds frequent incidental findings at MDCT urography
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news

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European J Pediatr Surg Rep 2020; 08: e23-e26 DOI: 10.1055/s-0040-1705154Urothelial neoplasms of the bladder (UNB) are considerably rare throughout the pediatric population. UNB develops from the urothelial tissue in the form of a benign disease, generally favoring a successful prognosis in the majority of cases. The authors present the diagnosis and treatment regarding two medical case reports in which urothelial papilloma was diagnosed and effectively treated. Case 1: A 15-year-old male patient was presented to our clinic complaining of a painless yet distinctive, macroscopic form of hematuria. Following a routine examin...
Source: European Journal of Pediatric Surgery Reports - Category: Surgery Authors: Tags: Case Report Source Type: research
A six-month-old child was admitted into our center with complaint of hydronephrosis in June 2018. He was diagnosed as embryoid rhabdomyosarcoma after cystoscopy with biopsy. After 22Gy radiotherapy and 4 cycles chemotherapy(VAC), robot-assisted radical cystectomy was performed. The orthotopic neobladder was reconstructed with sigmoid colon and bilateral ureter were reimplanted in Politano-Leadbetter technique. The patient was discharged after 14 days and chemotherapy was continued. Recent ultrasound examination showed that his maximal bladder capacity had increased to 120 ml, and intravenous urography revealed no urine leakage.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
A six-month-old child was admitted into our center with complaint of hydronephrosis in June 2018. He was diagnosed as embryoid rhabdomyosarcoma after cystoscopy with biopsy. After 22 Gy radiotherapy and 4 cycles chemotherapy (VAC), robot-assisted radical cystectomy was performed. The orthotopic neobladder was reconstructed with sigmoid colon and bilateral ureter was reimplanted in Politano-Leadbetter technique. The patient was discharged after 14 days and chemotherapy was continued. Recent ultrasound examination showed that his maximal bladder capacity had increased to 120 mL, and intravenous urography revealed no urine leakage.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Pediatric Case Reports Source Type: research
Purpose of review The purpose of this review is to summarize the problem of asymptomatic microscopic hematuria (AMH) in women and the most recent publications on the topic. Recent findings Urologic malignancy is rarely associated with AMH in low-risk women. Screening for urologic malignancy includes upper urinary tract imaging and cystoscopy. Renal ultrasound is a cost-effective first-line imaging modality in patients with AMH. Multiphasic computed tomography (CT) urography increases healthcare costs, the risk of secondary malignancy due to cumulative radiation exposure, and the discovery of incidental benign findings...
Source: Current Opinion in Obstetrics and Gynecology - Category: OBGYN Tags: UROGYNECOLOGY: Edited by Kavita Mishra Source Type: research
ConclusionIn bladder endometriosis a combined approach with the urologist can assist in safely excising deep bladder endometriosis without removal of normal bladder tissue. Stents placed in the ureter assist in avoiding injury to the ureters. Demarcating the endometriotic nodule by the urologist through the bladder and excising the bladder nodule laparoscopically is both safe and effective.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionIn bladder endometriosis, a combined approach with the urologist can assist in safely excising deep bladder endometriosis without removal of normal bladder tissue. Stents placed in the ureter assist in avoiding injury to the ureters. Demarcating the endometriotic nodule by the urologist through the bladder and excising the bladder nodule laparoscopically is both safe and effective.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Abstract Urogenital anomalies are the most prevalent anomalies detected during pregnancy. Timely detection of these conditions could facilitate proper post-natal management and improve outcomes. In some cases, precise delineation of fetal urinary tract utilizing ultrasonography is not feasible. Moreover, sometimes the ultrasound study is technically limited. Magnetic resonance imaging could clarify the diagnosis in these situations. Prenatal ultrasonography indicated hydronephrosis and a 14 mm cystic lesion at right ureterovesical junction in a 25-week fetus. However, fetal magnetic resonance urography was not abl...
Source: Urology Journal - Category: Urology & Nephrology Authors: Tags: Urol J Source Type: research
Conclusions: Initial or terminal VH patients may not need extensive upper tract imaging. FC is recommended, but a non-invasive USS can be a safe initial investigation for the UUT, with a CTU subsequently considered in those with abnormalities on USS and those with ongoing bleeding. Further combined multicenter analysis will help corroborate these findings and could have several beneficial outcomes including a reduction in investigations cost, patient inconvenience, and ionizing radiation. PMID: 30210715 [PubMed]
Source: Oman Medical Journal - Category: Middle East Health Tags: Oman Med J Source Type: research
Interventional endoscopy and interventional radiology have led to the development of minimally invasive techniques for management of kidney and ureteral diseases in the dog and cat including idiopathic renal hematuria, ureteral obstruction, and ectopic ureters. Sclerotherapy is a renal-sparing chemical cauterization technique used in cases of idiopathic renal hematuria. Diagnosis of ureteral obstruction is challenging in some cases based on ultrasound alone and antegrade pyelography should be considered. Treatment options for obstructions include nephrostomy tubes, ureteral stents, and subcutaneous ureteral bypass devices....
Source: Veterinary Clinics of North America: Small Animal Practice - Category: Veterinary Research Authors: Source Type: research
Visible hematuria (VH) is a common urological complaint which needs a complete evaluation with a cystoscopic evaluation of the urethra and bladder, combined with radiological imaging such as CT scanning, ultrasound scan (USS) or intravenous urogram for evaluation of the kidneys and ureters. A clear history of initial or terminal VH in men is indicative of a lower urinary tract (LUT) source. A careful clinical history could limit unnecessary extensive upper tract imaging.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Scientific poster presentation Source Type: research
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