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1989•Acta Obstetricia Et Gynecologica ScandinavicaRequires access

Ultrasonography Versus Urography as Preoperative Investigation Prior to Hysterectomy

Aslak Bjarne Aslaksen, Jan Göthlin, Jonn Terje Geitung, Carsten Anker

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Abstract

Ultrasonography (US) has been compared with urography (IVU) as a preoperative investigation prior to hysterectomy in 62 patients. In 38 patients the urinary tract was deemed normal by both US and IVU. US and IVU coincided in varying degrees of hydronephrosis in 8 patients and disagreed in one. Of 5 double ureters, US missed 2. IVU showed expansile lesions in 5 kidneys where US showed benign cysts. No severe contrast media reactions were observed. We recommend that preoperative urography should be replaced by preoperative ultrasonography when a screening examination of the upper urinary tract morphology is deemed necessary prior to hysterectomy.

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What this paper is about

Ultrasonography (US) has been compared with urography (IVU) as a preoperative investigation prior to hysterectomy in 62 patients. In 38 patients the urinary tract was deemed normal by both US and IVU. US and IVU coincided in varying degrees of hydronephrosis in 8 patients and disagreed in one. Of 5 double ureters, US missed 2. IVU showed expansile lesions in 5 kidneys where US showed benign cysts. No severe contrast media reactions were observed. We recommend that preoperative urography should be replaced by preoperative ultrasonography when a screening examination of the upper urinary tract morphology is deemed necessary prior to hysterectomy.

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OpenAlex reports 2 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

Ultrasonography (US) has been compared with urography (IVU) as a preoperative investigation prior to hysterectomy in 62 patients. In 38 patients the urinary tract was deemed normal by both US and IVU. US and IVU coincided in varying degrees of hydronephrosis in 8 patients and disagreed in one. Of 5 double ureters, US missed 2. IVU showed expansile lesions in 5 kidneys where US showed benign cysts. No severe contrast media reactions were observed. We recommend that preoperative urography should be replaced by preoperative ultrasonography when a screening examination of the upper urinary tract morphology is deemed necessary prior to hysterectomy.

Key concepts: Medicine, Intravenous urography, Pyelogram, Hydronephrosis, Ultrasonography, Hysterectomy, Urinary system, Radiology

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