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Published on: July 28, 2012
Is routine excretory urography necessary at first diagnosis of bladder cancer?
C Goessl1, H H Knispel, K Miller
1Department of Urology, Klinikum Benjamin Franklin, Free University of Berlin, Germany.
Purpose:
We determined whether routine excretory urography (IVP) at initial diagnosis of bladder cancer is useful in screening the upper urinary tract for clinically inapparent urothelial tumors.
Materials And Methods:
IVPs and ultrasound findings of 314 patients with bladder cancer were reviewed retrospectively.
Results:
Only 1 silent upper urinary tract tumor was detected with IVP (0.3%), resulting in nephroureterectomy. IVP had no further therapeutic consequences except for destruction of an asymptomatic prevesical stone. IVP was followed by ureterorenoscopy in 5 patients with negative results. Upper urinary tract obstruction could be documented equally well by sonography in all cases.
Conclusions:
Routine IVP at first diagnosis of bladder cancer is unnecessary.
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