The comparison of magnetic resonance urography with the combination of diuretic renal scintigraphy and urinary ultrasound in the diagnosis and follow up of ureteropelvic junction obstruction
Journal Title: Medical Science and Discovery - Year 2015, Vol 2, Issue 3
Abstract
Objectives:To evaluate the efficiency and reliability of MRU in diagnosis and follow up of children with UPJO.Methods:Thedata of64 patients with the diagnosis of primary UPJO were analysed. All patients underwent Anderson-Hynes pyeloplasty and pelvic reduction. Pre- and postoperative results of renal pelvis AP diameter (RPAPD), separated renal function, renal transit time (RTT), and anatomical findings in USG and renal scintigraphywere compared with MRU findings to evaluate the possible differences and analyze the efficiency and reliability of MRU in the management of UPJO.Results:The mean age 7.2 ± 1.8 years. All patients had unilateral hydronephrosis including 16 grade 2, 24 grade 3 and 24 grade 4. Pre- and postoperative RPAPDs in two techniques were also similar (P = 0.084, P = 0.576). Separated renal functions were evaluated by MRU with similar affectivity and sensitivity in DRS (P = 0.867). The comparison of mean pre and postoperative RTT results showed a significant improvement in mean postoperative RTT value (P = 0.024).Conclusions:MRU has the potential to become the imaging study of choice in the diagnosis and follow up of obstructive uropathy, and it may have a more significant role in the management of UPJO in the near future.Keywords: MR urography, ultrasonography, renal scintigraphy, UPJ obstruction, pyeloplasty, children.
Authors and Affiliations
Murat Ciloglu, Mehmet Bilgehan Yuksel, Berk Burgu, Omer Suat Fitoz, Yakup Tarkan Soygur
The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment
Objective: Most of the differentiated thyroid carcinoma (DTC) patients recover totally after the primary treatment. Unlike most of the other cancer types, the patients do not go through a long, challenging and weary trea...
Optimal cytoreduction is the only independent prognostic factor for survival in women with ovarian clear cell carcinoma
Objective: To evaluate the clinicopathological characteristics, treatment methods, survival, and prognosis of ovarian clear-cell carcinoma (OCCC).Material and Methods: All patients with OCCC who were treated between Janu...
High-riding innominate artery: not so uncommon as expected?
Tracheostomy is both an urgent and an elective surgical procedure that is intended to secure the airway and mostly save the life of the affected patient. In elective cases, adequate preparation of the patient and conveni...
The effect of gel foam mattress use during total hip replacement surgeries on the development of pressure ulcers in the recovery unit: a quasi-experimental study
Objective: This study was conducted on patients undergoing total hip replacements in order to examine the effect of the use of a gel foam mattress during surgery on preventing the development of pressure ulce...
Should the chronic form of tularemia be defined? Should the treatment of the chronic form be managed differently?
Background: Tularemia is a bacterial, zoonotic disease caused by Francisella tularensis. Although the ulceroglandular form is the most common form in the world, oropharyngeal tularemia is the most common form in Turkey...