Should renal ultrasound be performed in the patient with microscopic hematuria and a normal excretory urogram?
OBJECTIVE
We determine what additional information would be detected by renal ultrasonography that was not identified by a normal excretory urogram (IVP) performed for the evaluation of microscopic hematuria.


METHODS
A retrospective review was done of 101 patients with microscopic hematuria and a normal IVP who underwent renal ultrasonography.


RESULTS
Of the 101 patients with microscopic hematuria and a normal IVP, renal ultrasonography was abnormal in 20%. All findings were ultimately proved to be of no clinical significance, although 6 of 21 patients required a total of 10 additional studies, including 9 computerized tomography scans and 1 renal arteriogram.


CONCLUSIONS
These data demonstrate that renal ultrasonography is unnecessary in a patient with microscopic hematuria and a normal IVP.
Mokulis
J A
JA
Department of Urology, Wilford Hall United States Air Force Medical Center, San Antonio, Texas, USA.
Arndt
W F
WF
Downey
J R
JR
Caballero
R L
RL
Thompson
I M
IM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014463:Ultrasonography