[Comparative studies of renosonography and intravenous pyelography prior to and following hysterectomy].
Prior to hysterectomy investigation of the upper urinary tract and documentation of the investigation is important for treatment and liability reasons. The X-ray exposure possible allergy to the dye and the high price of intravenous pyelography mitigates against the investigation. This prospective study of 155 patients with benign disease shows that sonography is a valuable screening procedure. In over 90% of the cases sonography was sufficient and in only 11 women additional intravenous pyelography was necessary. The incidental discovery of an assymptomatic carcinoma of the kidney and of a hydronephrosis emphasized the importance of the pre-operative investigation of the upper urinary tract. Only displacement and mild dilatation of the distal ureters is not detectable by sonography. Therefore in malignant tumours of the genital tract the pre-operative intra-venous pyelogram is still recommended.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007674:Kidney Diseases / Q000175:diagnosis*; D008875:Middle Aged; D011182:Postoperative Care; D011300:Preoperative Care; D011446:Prospective Studies; D014463:Ultrasonography; D014567:Urography
Vergleichende Untersuchung über Nierensonographie und Urographie vor und nach Uterusexstirpation.