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Related Experiment Videos

Urography prior to prostatectomy.

M G Lucas1, R N Bodley, D R Lindsell

  • 1Department of Urology, John Radcliffe Hospital, Oxford, UK.

Postgraduate Medical Journal
|December 1, 1986
PubMed
Summary
This summary is machine-generated.

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Routine intravenous urography is often requested before prostatectomy. However, trans-abdominal ultrasound alone can influence patient management, making additional urography unnecessary for prostatectomy pre-operative assessments.

Area of Science:

  • Urology
  • Radiology
  • Medical Imaging

Background:

  • Intravenous urography is frequently requested for pre-operative prostatectomy assessment.
  • The clinical utility of this imaging modality in this context requires evaluation.

Purpose of the Study:

  • To compare the contribution of intravenous urography and trans-abdominal ultrasound in the pre-operative assessment of patients undergoing prostatectomy.
  • To determine if intravenous urography provides additional management information beyond ultrasound and plain radiography.

Main Methods:

  • Prospective study of 110 patients undergoing prostatectomy.
  • Comparison of findings and impact on management between intravenous urography and trans-abdominal ultrasound.

Main Results:

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  • Management was influenced in 34% of patients.
  • Trans-abdominal ultrasound, with a plain abdominal radiograph, was sufficient to influence management in all cases where it was beneficial.
  • Intravenous urography did not alter clinical management in any patient.

Conclusions:

  • Trans-abdominal ultrasound is a valuable tool for pre-operative prostatectomy assessment.
  • Routine intravenous urography is not necessary for pre-operative prostatectomy evaluation as ultrasound alone can guide management decisions.