Comparative evaluation of intravenous urogram and ultrasound in prostatism

Effectiveness of ultrasound in the preoperative evaluation of patients with prostatism

“…Hence, if we do not want to fail to detect those tumors, all males in the same age group should be examined. Lilienfeld et al [6], however, stated that 20% of IVUs performed prior to surgery for prostatism revealed an abnormality located in the urinary tract.…”

“…Mamtora et al [7] and Boerema [8] also doubt if screening of the upper urinary tract of patients with prostatism is necessary. If one does decide to screen the upper urinary tract, ultrasonography is the best method, as it is cost effective, comfortable, easy to repeat, does not use radiation, and gives no adverse effects from the contrast medium [6]. A mild morbidity of 5.1%, a severe morbidity of 0.09%, and a mortality of 0.0008% connected with an IVU is another reason to prefer ultrasonographic investigation [9].…”

Making the Diagnosis of Benign Prostatic Hyperplasia

“…Matthews et al [25] elegantly demonstrated that ultrasonography could very well replace IVU to detect most abnormalities in uncomplicated cases. Lilienfield et al [27] went even one step further and suggested replacement of the IVU for the combination of renal ultrasound, plain abdominal Xray, urinalysis and blood urea nitrogen determination.…”

Prostatism, Intravenous Urography and Asymptomatic Renal Cancer

“…setting (Bohne et at., 1961 ;Boerema, 1972;Chant et al, 1974;Marshall et al, 1975;Abrams et ul., 1976;Andersen et a/., 1977;Butler et al, 1978;Donker and Kakiailatu, 1978;Pang et al, 1979;Bauer et ul., 1980;Morrison, 1980;Pinck et al, 1980;Christoffersen and Moller, 1981 ;Matthews e t a / . , 1982;Lillienfeld et a/., 1985;Bundrick and Katz, 1986;Lucas et al, 1986;Fidas et al, 1987). Few would argue against performing an IVU in a patient with haematuria (macroscopic or microscopic) and this is probably also the case when the patient has documented urinary tract infection (UTI) or a past history of significant urinary tract disease (O'Reilly, 1987).…”

“…There are patients in whom selective investigation by IVU is potentially of value (O'Reilly, 1987). A good case can be made for performing a plain abdominal radiograph in "routine" patients (Chant et a[., 1974;Matthews et al, 1982;Lillienfeld et al, 1985;Fidas et at., 1987). This may detect bladder calculi, the presence of which may influence surgical technique, as well as the majority of renal calculi.…”