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Pre-prostatectomy excretory urography: does it merit the expense?

B D Pinck, M J Corrigan, P Jasper

    The Journal of Urology
    |March 1, 1980
    PubMed
    Summary
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    Excretory urography is essential before prostatectomy for urinary obstruction. This study found 27% of patients had abnormalities, with 14 requiring different operations, confirming its value in urologic care.

    Area of Science:

    • Urology
    • Diagnostic Imaging

    Background:

    • Prostatectomy is a common procedure for urinary obstruction.
    • The necessity of pre-operative excretory urography is debated.

    Purpose of the Study:

    • To evaluate the diagnostic yield and necessity of excretory urography prior to prostatectomy.
    • To assess the impact of urographic findings on surgical management.

    Main Methods:

    • Retrospective review of 557 patient records from 1977-1978.
    • Analysis of patients admitted for urinary obstruction requiring prostatectomy.

    Main Results:

    • 27% of patients exhibited urographic abnormalities.
    • 72 significant upper urinary tract lesions were identified.

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  • 14 patients required operations other than prostatectomy due to urographic findings.
  • 29 cases showed abnormalities involving the bladder.

    • Conclusions:

    • Excretory urography is a valuable diagnostic tool before prostatectomy.
    • It aids in identifying significant upper urinary tract lesions and bladder abnormalities.
    • The procedure remains a sound principle of proper urologic care.