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Updated: Apr 15, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
CT Urography for Evaluation of the Ureter
Scott E Potenta1, Robert D'Agostino, Kevan M Sternberg
1From the Department of Radiology (S.E.P., R.D., K.P.), Department of Surgery, Division of Urology (K.M.S.), and Department of Pathology and Laboratory Medicine (K.T.), University of Vermont Medical Center, 111 Colchester Ave, Mailstop 326PA1, Burlington, VT 05401.
Computed tomographic (CT) urography is key for urinary tract evaluation, especially for hematuria. Radiologists must recognize normal ureteral anatomy and diverse pathologies seen on CT urography, including congenital issues and filling defects.
Area of Science:
- Radiology
- Medical Imaging
- Urology
Background:
- Computed tomographic (CT) urography is now the primary imaging method for urinary tract evaluation.
- It is frequently used in the initial assessment of hematuria.
- Understanding normal ureteral anatomy and pathological findings on CT urography is crucial for radiologists.
Purpose of the Study:
- To review normal ureteral anatomy and pathological conditions as seen on CT urography.
- To discuss indications, imaging protocols, and techniques for optimal ureteral evaluation.
- To cover dose reduction strategies for CT urography.
Main Methods:
- Review of current literature and imaging protocols for CT urography.
- Analysis of common and uncommon ureteral pathologies visualized on CT.
- Emphasis on techniques for detailed ureteral assessment.
Main Results:
- CT urography effectively visualizes normal ureteral anatomy.
- Pathologic findings include congenital abnormalities, filling defects, dilatation, narrowing, and deviations.
- Specific protocols enhance the detection of ureteral abnormalities.
Conclusions:
- CT urography is a vital tool for diagnosing ureteral diseases.
- Knowledge of imaging protocols and potential abnormalities is essential for accurate interpretation.
- Dose reduction strategies should be considered during CT urography examinations.
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