[Ultrasonic and x-ray studies in urolithiasis]

Area of Science:

• Urology
• Diagnostic Imaging

Background:

• Urolithiasis diagnosis relies on imaging techniques.
• Accurate stone detection and urinary tract evaluation are crucial for treatment planning.

Observation:

• 208 urolithiasis suspects underwent ultrasonic and X-ray investigations.
• Ultrasonography identified 156 cases of concrements.
• X-rays missed small or radiolucent calyceal stones diagnosed by ultrasound.

Findings:

• Ultrasonography detected calyceal concrements missed by X-ray due to size and radiolucency.
• Both methods identified pelvic concrements.
• Echography detected ureteroliths, especially with a lumen extension.
• Excretory urography revealed upper urinary tract abnormalities like strictures and doubling.

Implications:

• Combined ultrasonography and excretory urography enhance urolithiasis diagnosis.
• This combined approach aids in selecting the most effective treatment strategy.
• Comprehensive assessment of urinary tract conditions alongside stone localization is vital.