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CT urography

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https://www.readbyqxmd.com/read/29737311/laparoscopic-ureterolithotomy-experience-of-60-cases-from-a-developing-world-hospital
#1
Mudassir Maqbool Wani, Abdul Munnan Durrani
Objective: Laparoscopic ureterolithotomy, which has been quoted to have a success rate equivalent to open ureterolithotomy for uretric stones, can be performed transperitoneally and retroperitoneally. The aim of the present study is to report our experience with laparoscopic retroperitoneal ureterolithotomy, its results and advantages in the current era of minimally invasive surgery in a developing country. Patients and Methods: It was a prospective study carried from May 2010 to December 2012...
May 4, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29724418/acr-appropriateness-criteria-%C3%A2-pretreatment-staging-of-muscle-invasive-bladder-cancer
#2
Christian B van der Pol, V Anik Sahni, Steven C Eberhardt, Aytekin Oto, Oguz Akin, Lauren F Alexander, Brian C Allen, Fergus V Coakley, Adam T Froemming, Pat F Fulgham, Keyanoosh Hosseinzadeh, Jodi K Maranchie, Rekha N Mody, Nicola Schieda, David M Schuster, Aradhana M Venkatesan, Carolyn L Wang, Mark E Lockhart
Muscle-invasive bladder cancer (MIBC) has a tendency toward urothelial multifocality and is at risk for local and distant spread, most commonly to the lymph nodes, bone, lung, liver, and peritoneum. Pretreatment staging of MIBC should include imaging of the urothelial upper tract for synchronous lesions; imaging of the chest, abdomen, and pelvis for metastases; and MRI pelvis for local staging. CT abdomen and pelvis without and with contrast (CT urogram) is recommended to assess the urothelium and abdominopelvic organs...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29692693/efficacy-of-multi-detector-computed-tomography-for-the-diagnosis-of-medullary-sponge-kidney
#3
Geoffrey S Gaunay, Robert G Berkenblit, Christian H Tabib, Jeffrey R Blitstein, Manoj Patel, David M Hoenig
Objective: To expand the diagnostic armamentarium for medullary sponge kidney (MSK), we evaluate the use of high-resolution multidetector computed tomography (MDCT) for MSK diagnosis and compare to the standard intravenous urography (IVU). Despite a significant prevalence amongst stone formers, diagnosis of this well described condition has declined. IVU, the gold standard in MSK diagnosis, has largely been replaced by CT, which has previously been shown unable to demonstrate signs of MSK...
March 2018: Current Urology
https://www.readbyqxmd.com/read/29504860/surgical-and-endoscopic-treatment-of-bladder-exstrophy-epispadias-complex-in-a-female-dog
#4
Brittani Jones, Allyson C Berent, Chick W Weisse, Robert Hart, Leilani Alvarez, Anthony Fischetti, B David Horn, Douglas Canning
CASE DESCRIPTION A 14-week-old 7.7-kg (16.9-lb) sexually intact female Golden Retriever was evaluated because of urine dripping from the caudoventral aspect of the abdomen. CLINICAL FINDINGS Ultrasonography, radiography, excretory CT urography, and vaginocystourethroscopy were performed. Results indicated eversion of the bladder through the ventral abdominal wall with exposure of the ureterovesicular junctions, pubic diastasis, and an open vulva and clitoral fossa. Clinical findings were suggestive of bladder exstrophy, a rare congenital anomaly...
March 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29375688/the-safety-and-efficacy-of-mpr-ctu-combined-with-precise-intraoperative-ultrasonography-guided-flexible-ureteroscope-in-the-treatment-of-renal-cystic-disease
#5
Rongjiang Wang, Ning Wang, Jianer Tang, Yu Chen, Jianguo Gao
The safety and efficacy of multi-planar reconstruction (MPR) image post-processing technique-computed tomography (CT) urography (CTU) combined with precise intraoperative ultrasonography guided flexible ureteroscope in renal cyst incision and drainage in the treatment of cystic diseases of kidney were evaluated. A total of 68 patients were randomly divided into control and observation group (n=34). All the patients were treated with renal cyst incision and drainage under flexible ureteroscope. The control group was under ultrasound guidance...
January 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29333663/computed-tomographic-retrograde-positive-contrast-cystography-and-computed-tomographic-excretory-urography-characterization-of-a-urinary-bladder-diverticulum-in-a-dog
#6
Agustina Anson, Carina Strohmayer, Jose M Larrinaga, Esteban Iglesias, Ramon Almela, Gustavo Ramírez, Vicente Cervera
A one-year-old intact male German shepherd dog was referred with a 3-month history of dysuria and pollakiuria. Physical examination revealed a large firm mass in the caudal abdomen. Findings from survey radiography, negative contrast cystography, computed tomographic (CT) retrograde positive contrast cystography, and CT excretory urography were consistent with a large urinary bladder diverticulum. An exploratory laparotomy revealed a normal wall appearance in the ventral compartment (true bladder) and marked thinning of the wall in the dorsal compartment (diverticulum)...
January 14, 2018: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/29279872/massive-dilation-of-the-ureter-an-endoscopic-management-of-persistent-urinary-leak-after-partial-nephrectomy
#7
Panagiotis Pardalidis, Nick Andriopoulos, Eleni Kosmaoglou, Nick Pardalidis
Introduction: The incidence of urinary leakage is increased as nephron sparing surgery becomes more used for the management of small renal masses. We present an endourologic approach in a patient with a persistent urinary leak after partial nephrectomy by placing two synchronous ureteral stents to improve drainage and avoid further potential surgery. Patients and Method: A 39-year-old patient presented with a urine leak on the fifth postoperative day after an open partial nephrectomy. Initially, the leakage was managed with a placement of a 6F Double-J stent...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29279170/upper-tract-urothelial-cancer
#8
REVIEW
Adam Froemming, Theodora Potretzke, Naoki Takahashi, Bohyun Kim
While urothelial carcinoma is a very common tumor, involvement of the upper tract is relatively uncommon. Consequently, there are no consensus imaging recommendations for upper tract disease. CT urography is the dominant imaging modality for the upper tract, but despite its excellent performance characteristics and being widely accepted as standard of care there is great variability in how CTU exams are performed across practices. MR urography has limited current application, but has the potential to become more mainstream in the future with continued technical advances...
January 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29277882/mesalazine-a-novel-etiology-for-drug-induced-urinary-calculi
#9
Blaise Corbery, Souhil Lebdai, Shahed Borojeni, Pierre Bigot, Abdel-Rahmène Azzouzi, Thibaut Culty
We report the case of a 23-year-old woman treated by mesalazine for ulcerative colitis and who subsequently presented recurrent renal colic due to mesalazine urinary stones. This is the second case described in the literature.Mesalazine stones are soft, friable and have an orange-beige color. They are not visible on non-contrast computed tomography (CT). Their diagnosis is based on morpho-constitutional analysis and CT-urography. Patients treatedby mesalazine who present renal colic should undergo CT-urography in order to make the diagnosis...
December 26, 2017: Urology Journal
https://www.readbyqxmd.com/read/29184602/-giant-lithiasis-due-to-urinary-stasis-related-to-ileo-caecal-bladder
#10
Hamza Dergamoun, Zayd El Boukili El Makhoukhi
Bladder exstrophy is a malformation characterized by subumbilical anterior abdominal wall and anterior bladder wall deishence. It affects nearly 30.000-40.000 births per year, with a higher prevalence in boys. External continent urinary diversion creates a long-term outcome. However, it is not devoid of complications. We report the case of a 30-year old female patient who had undergone cystectomy with bladder replaced with ileo-caecal segment for bladder exstrophy 13 years earlier. She was followed up for 5 years and then lost to follow up...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/29118532/transperitoneal-laparoscopic-repair-of-retrocaval-ureter-our-experience-and-review-of-literature
#11
Ashwin S Tamhankar, Abhishek J Savalia, Ajit S Sawant, Prakash W Pawar, Gaurav V Kasat, Sunil R Patil
Context and Aim: Retrocaval ureter (RCU), also known as circumcaval ureter, occurs due to anomalous development of inferior vena cava (IVC) and not ureter. The surgical approach for this entity has shifted from open to laparoscopic and robotic surgery. This is a relatively new line of management with very few case reports. Herein, we describe the etiopathology, our experience with six cases of transperitoneal laparoscopic repair of RCU operated at tertiary care center in India and have reviewed different management options...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29102424/lower-tract-neoplasm-update-of-imaging-evaluation
#12
REVIEW
Robert Hartman, Akira Kawashima
Cancers of the lower urinary tract can arise from the bladder, urachus or urethra. Urothelial carcinoma of the bladder (UCB) is the most common of these. The presentation of bladder, urachal and urethral cancers can differ but many result in hematuria as an initial indication. The diagnosis and staging of these cancers often necessitate radiologic imaging often in the form of cross-section CT urography or MR urography. The following article reviews the specific nature of lower tract cancers and their imaging...
November 1, 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28992845/-correct-diagnostic-of-traumatic-renal-trauma-is-important-for-the-treatment
#13
EDITORIAL
Sophia Liff Maibom, Susanne Christiansen Frevert, Mette Lind Holm
Renal trauma is injury to the kidney because of either blunt or penetrating trauma. The condition must be diagnosed quickly and correctly in order to preserve kidney function. This article describes classification, diagnostics, treatment and follow-up. It is important to do a CT-urography to classify the injury properly. The majority of the patients with renal injury can be managed conservatively. Surgical exploration is primarily for the control of haemorrhage. Complications may require additional imaging or inter-ventions...
October 2, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28971295/determination-of-single-kidney-glomerular-filtration-rate-gfr-with-ct-urography-versus-renal-dynamic-imaging-gates-method
#14
Shan You, XianWu Ma, ChangZhu Zhang, Qiang Li, WenWei Shi, Jing Zhang, XiaoDong Yuan
OBJECTIVES: To present a single-kidney CT-GFR measurement and compare it with the renal dynamic imaging Gates-GFR. MATERIALS AND METHODS: Thirty-six patients with hydronephrosis referred for CT urography and 99mTc-DTPA renal dynamic imaging were prospectively included. Informed consent was obtained from all patients. The CT urography protocol included non-contrast, nephrographic, and excretory phase imaging. The total CT-GFR was calculated by dividing the CT number increments of the total urinary system between the nephrographic and excretory phase by the products of iodine concentration in the aorta and the elapsed time, then multiplied by (1- Haematocrit)...
March 2018: European Radiology
https://www.readbyqxmd.com/read/28900827/lifetime-radiation-exposure-in-patients-with-recurrent-nephrolithiasis
#15
REVIEW
Mohamed A Elkoushy, Sero Andonian
Patients presenting with nephrolithiasis often undergo repeated imaging studies before, during, and after management. Considering the significant risk of stone recurrence in primary stone-formers, repeated imaging studies are not uncommon. Cumulative effects of ionizing radiation exposure from various imaging studies could potentially increase the risk for developing cataracts and solid malignancies in urolithiasis patients. Therefore, practitioners planning or performing imaging studies with ionizing radiation are compelled to keep radiation exposure to humans and the environment as low as possible, thus strictly adhering to the ALARA (As Low as Reasonably Achievable) principles...
September 12, 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28845492/twinkle-twinkle-little-stone-an-artifact-improves-the-ultrasound-performance
#16
Mirela Liana Gliga, Cristian Nicolae Chirila, Daniela Maria Podeanu, Torok Imola, Sanda Lucia Voicu, Mihail Gheorghe Gliga, Paula Maria Gliga
AIMS: Ultrasound is a noninvasive method used for the diagnosis of urinary lithiasis. When the length of the stone is less than 5 mm, its detection may be difficult. The twinkling artifact (TwA) is an intense alternating color signal behind calcifications and stones in different organs. The aim of this paper was to evaluate the importance of the TwA in detecting kidney stones less than 5 mm in length. MATERIAL AND METHODS: We examined 230 patients with lumbar pain or a history of kidney stones...
June 17, 2017: Medical Ultrasonography
https://www.readbyqxmd.com/read/28830196/prediction-of-high-grade-ureteral-urothelial-carcinoma-on-ct-urography
#17
Hwang Sung Tae, Sung Deuk Jae, Yang Kyung Sook, Sim Ki Choon, Han Na Yeon, Park Beom Jin, Kim Min Ju, Cho Sung Bum
OBJECTIVE: To evaluate the correlation between CT urography (CTU) findings and histological grade of ureteral urothelial carcinoma (UUC), and to identify predictors of high-grade UUC. METHODS: CTU images of 73 patients with pathologically proven UUC via nephroureterectomy were independently reviewed by two radiologists for tumour size, tumour location, hydronephrosis grade, periureteral infiltration, presence of enlarged retroperitoneal lymph nodes and tumour enhancement value...
October 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28774661/current-techniques-and-clinical-applications-of-computed-tomography-urography
#18
REVIEW
Vijay Krishnan, Ashish Chawla, Kedar G Sharbidre, Wilfred C G Peh
From conventional radiograph to magnetic resonance urography, imaging of urinary system has evolved with variety of investigations over the past several decades with each of them having advantages and limitations of their own. In the current era, computed tomography (CT) has emerged as a preferred investigations for evaluation of the urinary tract. There are various techniques involved in performing CT urography (CTU) with triple bolus technique (TB-CTU) currently drawing a special attention because of its low radiation exposure...
July 8, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28762684/-the-retroperitoneal-space
#19
Andrea Mancini, Mario Meola, Giuseppe Tarantino, Ilaria Petrucci, Giovanna Berardi, Cristoforo Cuzzola
We describe the case of a 45-year-old woman with a clinical history of breast cancer presenting with anuric renal failure, metabolic acidosis and bilateral grade 2-3 hydronephrosis. Following insertion of bilateral ureteral stents, urinary output was 5000 ml in the subsequent 24 hours with frankly bloody urine, after which anuria recurred. A new ultrasound examination showed hydronephrotic kidneys with properly positioned stents, a distended bladder free of clots and a hypo-anechoic, well-demarcated mass enveloping the aorta...
August 1, 2017: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/28720719/introduction-of-a-new-imaging-guideline-for-suspected-renal-colic-in-the-ed-reduces-ct-urography-utilisation
#20
Gabriel Blecher, Rob Meek, Diana Egerton-Warburton, Philip McCahy
BACKGROUND: Patients presenting to the ED with suspected renal colic are frequently imaged with CT urography (CTU), which rarely alters diagnosis or management. To reduce use of CTU in this population, we instigated a new imaging and management guideline in our ED. METHODS: This was a quasi-experimental prospective study, whereby a new guideline was commenced at the intervention site (Monash Medical Centre) and the existing guideline continued at the control site (Dandenong Hospital)...
November 2017: Emergency Medicine Journal: EMJ
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