CT UROGRAPHY IN EVALUATION OF PATIENTS WITH MACROSCOPIC HEMATURIA.

Dr. J.Abdul Gafoor; Dr. M.Kiran Kumar; Dr. B.Suresh; Dr. D.Harinath

Volume : IX, Issue : VII, July - 2020

CT UROGRAPHY IN EVALUATION OF PATIENTS WITH MACROSCOPIC HEMATURIA.

Dr. J. Abdul Gafoor, Dr. M. Kiran Kumar, Dr. B. Suresh, Dr. D. Harinath

Abstract :

Haematuria is one of the most common manifestations of urinary tract. Haematuria can originate from any site along the urinary tract and has a wide range of causes including calculi, neoplasm, infection, trauma, medications, coagulopathy and renal parenchymal diseases.The concept of CTUrography(CTU) is more appropriate as both the renal parenchyma and urothelium can be evaluate patients with haematuria by a single imaging technique with a high degree of sensitivity and specificity. Aims: The purpose of this study is an attempt to define the accuracy of CT urography in evaluation of patients with macroscopic haematuria and to study the most common etiology of macroscopic haematuria Methods and Material: Prospective study of fifty patients with history of macroscopic haematuria, between 18–75 years of age will be subjected to study which includes out patients, inpatients, referral patients coming to, Government General Hospital, Kurnool. Results and conclusions:MDCT Urography was able to define lesions with a sensitivity of 97%, specificity of 100%, and an accuracy of 98% when the images were evaluated in unenhanced, corticomedullary and nephrographic phases. Out of 50 cases, 35 cases were diagnosed to be non–neoplastic,and 15cases were diagnosed to neoplastic. The most common pathology was urolithiasis accounting for 56% of the pathology causing hematuria.