The Journal of urology
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The Journal of urology · Aug 1992
Comparative StudyUltrasound for detecting Schistosoma haematobium urinary tract complications: comparison with radiographic procedures.
Chronic infection with Schistosoma haematobium primarily causes urinary tract complications. These lesions are often silent or ignored and not detected until irreversible changes have occurred. However, early chemotherapy can prevent progression and usually reverse all but the more severe abnormalities. ⋯ Ultrasound was as sensitive as an IVP in detecting bladder masses, hydronephrosis and renal stones. It detected hydroureter less frequently (sensitivity 62.5%) than an IVP but visualized this lesion and hydronephrosis in some patients with nonfunctioning kidneys. Ultrasound demonstrated bladder stones as well as an x-ray but it detected bladder wall calcification with less sensitivity (65%) and was much less sensitive (12.5%) for detecting ureteral stones.
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The Journal of urology · Aug 1992
Radiographic evaluation of adult patients with blunt renal trauma.
Recent reports in the literature suggest that radiographic evaluation of the normotensive blunt trauma patient with microscopic hematuria is no longer necessary. Several facilities, however, including ours, continue to perform excretory urography (IVP) routinely in this setting. To evaluate further whether this practice is indicated, we retrospectively reviewed the records of 317 adults who presented to our facility between May 1986 and December 1989 after blunt trauma with resultant microscopic hematuria but no shock. ⋯ No significant urological injury was identified. Thus, no injury would have been missed if a policy of observation had been followed in these patients. Our data support other reports in the literature that radiographic staging is not necessary in the adult blunt trauma patient with microscopic hematuria but no shock.
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The Journal of urology · Aug 1992
A simple test for the detection of intraoperative rectal injury in major urological pelvic surgery.
We describe our experience with a simple inexpensive test with 2 practical uses: 1) to detect unrecognized intraoperative rectal injury and 2) to assess the adequacy of repair of rectal injuries.