64 MS-CTU: Review of techniques and spectrum of the ureteric diseases. Issue 3 (1st September 2018)

• Record Type: Journal Article
• Authors: Agha, Mahmoud; Eid, Ahmed Fathi
• Is Part Of: Alexandria journal of medicine. Volume 54:Issue 3(2018)
• Page Start: 215
• Page End: 277
• Publication Date: 2018-09-01
• Subjects: AGH -- Al-Mana General Hospital -- CTU -- computed tomography of the urinary tract -- ESWL -- extracorporeal shock wave lithotripsy -- HIV -- human immune-deficiency virus -- HU -- Hounsfield unit -- IVU -- intravenous urography -- MSCT -- multislic CT scan -- PRPF -- primary retroperitoneal fibrosis -- PUJ -- pelviureteric junction -- RTA -- road traffic accidents -- TCC -- transitional cell carcinoma -- UT -- urinary tract -- VUJ -- vesicoureteric junction -- VUR -- vesicoureteric reflux; Medicine -- Periodicals; 610.5
• DOI: 10.1016/j.ajme.2017.07.002
• Languages: English
• ISSNs: 2090-5068

Abstract

Abstract: Objective: The study aims to clarify the sensitivity of the CTU, and if is it coast effective and time effective to be used as first and the one-stop shop imaging modality for the diagnosis of the different ureteric diseases. Patients and methods: 400 patients with different urinary tract complaints (hematuria and/or renal colic) did triphasic CTU examinations, for diagnosis of suspected obstructive or traumatic ureteric uropathy from January 2014 to October 2016. These patients were filtered from a larger number of patients – who were presented with urinary tract complaints by plain KUB X ray and US, which showed no explaining kidneys or urinary bladder pathology. Results: Ureteric duplication was detected in 5 (1.25%) patients, ectopic ureter in one patient (0.25%), UPJ stricture in 4 patients (1%), PUJ vascular impression in 2 patients (0.5%), ureteric calculus in 103 patients (25.75%), pyogenic ureteritis in 8 patients (2%), ureteritis cystica in one patient (0.25%) TCC in 3 patients (0.75%), PRPF in one patient (0.025%) and Trauma in one patient (0.025%). Conclusion: CTU is very sensitive tool of imaging and could be confidently considered the one-stop shop imaging tool for accurate diagnosis of the different ureteric lesions.