A prospective study of urologist-performed sonographic evaluation of the urinary tract in patients with prostatism

E. M. Reisman, T. J. Kennedy, Claus Roehrborn, J. D. McConnell

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

In this study 171 consecutive patients hospitalized for prostatectomy were prospectively evaluated by urologist-performed transabdominal ultrasound. The urologist-sonographers were blinded to the results of an excretory urogram (IVP) performed and interpreted by radiologists. All significant upper tract pathology (4 renal cell carcinomas and 1 transitional cell carcinoma of the renal pelvis) identified by an IVP also was detected by ultrasonography. Of 5 clinically silent stones seen on an IVP 4 were identified by sonography. There were 13 patients (7.6%) with severe contrast medium allergies or renal failure who were readily evaluated with ultrasonography. Urologist-performed sonography can safely replace an IVP for routine evaluation of the urinary tract before prostatectomy. Moreover, sonography provided significant additional data on prostate size and post-void residual. However, the cost-effectiveness of upper tract imaging in patients before prostatectomy may be questioned.

Original languageEnglish (US)
Pages (from-to)1186-1189
Number of pages4
JournalJournal of Urology
Volume145
Issue number6
StatePublished - Jan 1 1991

    Fingerprint

Keywords

  • Calculi
  • Carcinoma
  • Prostate
  • Ultrasonography

ASJC Scopus subject areas

  • Urology

Cite this