MDCT Urography Evaluation of Patients with Painless Hematuria
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 9
Abstract
Abstract: Hematuria defined as the presence of blood in urine is one of the most common manifestations of urinary tract disease and can be painless or painful. Malignancies are the most common cause of painless hematuria. The aim of the present study is to evaluate the role of MDCT in patients with painless hematuria and to study the MDCT features of various common etiologies causing it. This prospective observational study included a total of 31 patients who presented with painless hematuria referred for CT urography. CT urography was done in all the patients on 128 slice Philips Multi-detector CT (MDCT). CECT imaging findings were interpreted independently and tabulated and subsequently correlated with pathological findings in all but one patient. Most of the patients were in the 51-60 years age group i.e. 15(48.38%)with twice male predominance (2:1).Most common cause of painless hematuria in our study was bladder TCC seen in 17(54.86%) cases followed by renal masses i.e, 11(35.48%) cases , two cases of benign prostatic hyperplasia and 1 case of complicated renal cyst. MDCT was 100% sensitive in our study in detecting bladder neoplasm and its extension and was 92% sensitive in characterizing renal neoplastic masses. MDCTU in the patients with painless hematuria can be considered as the first line imaging modality for detection of neoplastic masses with high sensitivity and specificity. It additionally also provides detailed information regarding local infiltration of the tumor, lymphadenopathy and metastasis and thus has invaluable role in staging. Keywords:MDCT, Painless, Hematuria, Urography.
Authors and Affiliations
Nidhi Tyagi, Mukta Mital, Prashant Gupta
Keywords
Related Articles
- EP ID EP371501
- DOI -
- Views 48
- Downloads 0
A Rare Case of Appendicities
Abstract: We present a rare case of 30 year old female presented with chronic lower abdominal pain mainly in suprapubic and right iliac fossa. Diagnostic laproscopy was done and found 23 cm inflammed appendix involving t...
Prevalence of Sexual Violence and its Characteristics among Female Students in Aman High School, Bench Maji Zone, South West Ethiopia – A Descriptive Cross Sectional Study, 2017
Abstract: Violence against women is usually targeted at women and girls due to their unequal treatment nature in society. It is considered as one of the major women health problems and further is a major obstacle standin...
Knowledge, attitude & practice regarding diabetic ocular complications among intern doctors at a tertiary care hospital
Abstract:Diabetes is a global health burden and diabetic ocular complications are among common causes of blindness. Prevalence of diabetic retinopathy is 21.7% among diabetics in India. (11) Early diagnosis and prompt tr...
Treatment Outcome with Radiological Lesions and Risk Factor of Poor Outcome in Tuberculosis Retreatment Cases at a Tertiary Medical College in West Bengal, India
Patients with tuberculosis require retreatment if they fail or default for the initial treatment or if they relapse following initial treatment success. Outcomes among patients receiving CAT- II regimen are sub optimal,...
Clinical Profile and Etiological Evaluation of Pancytopenia in a Tertiary Care Hospital
Abstract: Evaluation of clinical and etiological profile of Pancytopenia in a tertiary care hospital. This is a Retropective study conducted in dept of medicine in SDMCMSH Sattur Dharwad during the period of July 2017 –...