| Title: |
Urologist operated ultrasound scanning of the urinary system: findings and impact on day to day management |
| Authors: |
Premachandra, ND; Wickramarachchi, RE; Perera, ND |
| Source: |
Sri Lanka Journal of Urology; Vol 11, No 1 (2010); 14-16 |
| Publisher Information: |
Sri Lanka Association of Urological Surgeons |
| Publication Year: |
2012 |
| Collection: |
Sri Lanka Journals Online (SLJOL) |
| Subject Terms: |
Urology; in-ward ultrasonography of kidney; ureter; bladder; urologist held USS-KUB |
| Subject Geographic: |
Sri Lanka |
| Description: |
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 |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
http://www.sljol.info/index.php/SLJU/article/view/4054/3302; http://www.sljol.info/index.php/SLJU/article/view/4054 |
| DOI: |
10.4038/slju.v11i1.4054 |
| Availability: |
http://www.sljol.info/index.php/SLJU/article/view/4054; https://doi.org/10.4038/slju.v11i1.4054 |
| Accession Number: |
edsbas.83477796 |
| Database: |
BASE |