News Updates Monday 20th May 2024 :
  • Welcome to IJMAHS - International Journal of Medical and Allied Health Sciences
  • Submit your manuscripts for upcoming Vol-4, Issue-2 (April - June 2024)
  • Quick processing and publication of manuscript
  • Communication of decision on manuscript: 1-2 weeks
  • Article Processing Charges (APC) applicable after acceptance of manuscript
All articles will be given DOI
Fast Processing and Publication
Plagiarism free publishing
Fast processing and publication of article
 

Article Published In Vol. 02, Issue 02 (2022)

Comparison of USG KUB Findings with MR Urography (fluid static) in Patients with Obstructive Uropathy- A Cross Sectional Study

Pages : 29-37, doi: https://doi.org/10.54618/IJMAHS.2022223

Author : Lovely Kaushal, Swati Goyal and Vetrivel. K. S

Download PDF

Introduction– Obstructive uropathy is one of the most urgent clinical entities that has to be diagnosed and treated on time. Ultrasonography [USG] is cheap and easily accessible for determining the cause of obstructive uropathy. Magnetic Resonance Urography [MRU] has the potential to provide an excellent noninvasive examination of a wide range of urinary tract disorders, congenital anomalies and neoplasms without contrast administration.

Aims- To assess the role of USG in obstructive uropathy patients and compare its finding with MRU static fluid.

Design- Cross sectional study

Materials & methods- This study was conducted on all patients referred to the Radio-Diagnosis department with any clinically suspicious obstructive uropathy symptoms. They underwent USG KUB and those with confirmed obstructive uropathy, underwent static fluid MR urography.

Results- The study was conducted in 74 patients; 59.4% patients were males. Hydroureteronephrosis was the most common finding. MRU was superior to USG for diagnosis of stricture ureter and calculus in patients with obstructive uropathy. USG and MRI for diagnosis of VUJ, vesical, renal and pelvis calculus showed perfect agreement (κ=1; p=0.01); moderate for ureteric calculus (0.60-0.79; p<0.05) and minimal for ureteric stricture (0.21-0.39; p<0.05). MRU was superior in detailing PUJ obstruction as partial and complete.

Conclusions- Ultrasound as an initial investigation helped in finding the level and severity of urinary obstruction. However, MRU performed better, in whom ultrasound showed inadequate results. In case of malignant obstruction, it gave precise soft tissue details. MRU appears as a better tool in diagnosing both extrinsic and intrinsic causes of obstructive uropathy.

Keywords: Obstructive uropathy, Ultrasonography KUB, MR Urography Static fluid.

About IJMAHS

In time of local and global stress, carrying on researching and publishing is difficult. International Journal of Medical and Allied Health Sciences [IJMAHS] has been started keeping in mind the highly increasing demand of outcome from medical and allied health science research globally. IJMAHS is a peer reviewed open access journal that provides a platform for original research in the field of medical and allied health sciences.