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Updated: Aug 9, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Modified excretory urography in prehysterectomy patients
Preoperative excretory urography offers limited value for hysterectomy patients. A shortened urogram, including KUB, prone, and bladder films, is sufficient for preoperative screening, reducing costs and radiation exposure.
Area of Science:
- Urology
- Gynecology
- Radiology
Background:
- Preoperative evaluation is crucial for hysterectomy patients.
- The utility of excretory urography in this setting requires clarification.
Purpose of the Study:
- To assess the role and effectiveness of preoperative excretory urography in patients undergoing hysterectomy.
- To determine if routine intravenous urography is necessary before hysterectomy.
Main Methods:
- Conducted a retrospective (520 patients) and prospective (100 patients) study.
- Analyzed the diagnostic yield of preoperative excretory urograms.
Main Results:
- Excretory urography provided valuable information in only 7.4% of patients.
- The diagnostic yield is low, questioning the routine use of this imaging modality.
Conclusions:
- Routine preoperative excretory urography has limited utility for hysterectomy patients.
- A modified, abbreviated urogram (KUB, prone, and bladder films) is proposed as an adequate and efficient screening tool, minimizing patient radiation and healthcare costs.
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