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Urologist operated ultrasound scanning of the urinary system: findings and impact on day to day management

Authors:

ND Premachandra ,

Department of Urology, National Hospital of Sri Lanka, Colombo, LK
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RE Wickramarachchi,

Department of Urology, National Hospital of Sri Lanka, Colombo, LK
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ND Perera

Department of Urology, National Hospital of Sri Lanka, Colombo, LK
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Abstract

Introduction Urologist held ultrasonography has become a standard practice in the developed world. The aim of the present study was to describe the practicality and the outcome of urologist held ultrasound scan of kidneyureter- bladder (USS-KUB), and the effect on the management.

Methods and material A prospective, descriptive study was designed to analyze the first 100 in-ward USS-KUB performed by urologist. Findings were compared and confirmed by radiologists’ findings.

Results The mean length of the kidneys (right – 9.8 cm; range: 5.7-16 cm, left – 9.6 cm; range: 5.2-16 cm), average width (right – 5.2 cm; range: 3.4-10 cm, left – 5.1 cm; range: 3.4-8.8 cm), mean cortical thickness (right – 1.14 cm; range: 0.3-1.9 cm, left – 1.12 cm; range: 0.2-2.5 cm) and clear cortico-medullary demarcation (right – 83%, left – 86%) were comparable with radiologists’ findings. Gross, moderate, and mild hydronephrosis were seen in 29%, 17% and 20% patients, respectively. Renal calculi were observed in 10%, cortical cysts in 3 and renal mass in 2 patients. Five percent of the patients had perinephric collections. Right ureter was dilated in 22% and left ureters in 21%. Ureteric calculi were visualized in 7%. Twelve percent of the bladders showed a wall thickness over 4 mm and 10 patients had a significant post-voidal residual volume. Out of the males 26% had a prostatomegaly over 30 ml and intravesical prostatic protrusion was grade 2 or 3 in 52% of them. All the scans eliminated radiological waiting time and helped in rapid decision making and urgent intervention in 35% of them.

Conclusions The urologist held USS-KUB was a very helpful tool in rapid deciding of the management, to fast track intervention and for follow up of the patients in a urology department.

DOI: http://dx.doi.org/10.4038/slju.v11i1.4054

SLJU 2010; 11(1): 14-16

How to Cite: Premachandra, N., Wickramarachchi, R. & Perera, N., (2012). Urologist operated ultrasound scanning of the urinary system: findings and impact on day to day management. Sri Lanka Journal of Urology. 11(1), pp.14–16. DOI: http://doi.org/10.4038/slju.v11i1.4054
Published on 31 Jan 2012.
Peer Reviewed

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