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[Is intravenous urography indispensable in evaluating a bladder emptying disorder?]
C Coulange1, H Leremboure, P Albert
1Service d'Urologie, Hôpital de la Timone, Marseille.
Annales D'Urologie
|January 1, 1989
Summary
Intravenous pyelography is essential for diagnosing renal tuberculosis in patients with persistent bladder emptying disorders. This imaging technique is crucial even when initial assessments suggest prostatic issues.
Area of Science:
- Urology
- Nephrology
- Diagnostic Imaging
Background:
- Disorders of bladder emptying, including dysuria and pollakiuria, can present diagnostic challenges.
- Initial assessment often involves ultrasonography, but may not reveal the underlying cause.
Purpose of the Study:
- To highlight the importance of intravenous pyelography in diagnosing renal tuberculosis.
- To emphasize the role of intravenous pyelography in patients with prostatic symptoms and persistent bladder dysfunction.
Main Methods:
- Case study of two patients with bladder emptying disorders.
- Initial investigation using ultrasonography.
- Subsequent use of intravenous pyelography for persistent symptoms.
Main Results:
- Ultrasonography alone failed to diagnose the cause of bladder emptying disorders in two patients.
- Intravenous pyelography revealed renal tuberculosis as the underlying diagnosis.
- Prompt treatment of renal tuberculosis was enabled by intravenous pyelography.
Conclusions:
- Intravenous pyelography is indispensable for the comprehensive assessment of patients presenting with prostatic symptoms and bladder emptying issues.
- Delayed diagnosis of renal tuberculosis can occur without appropriate imaging like intravenous pyelography.
- This case underscores the necessity of considering and utilizing intravenous pyelography in complex urological cases.