Radiological screening of the upper urinary tract prior to pelvic surgery

✍ Scribed by A. Aslaksen; C. Anker; J. H. Göthlin; J. T. Geitung

• Book ID: 104746123
• Publisher: Springer
• Year: 1992
• Tongue: English
• Weight: 484 KB
• Volume: 3
• Category: Article
• ISSN: 0937-3462
• DOI: 10.1007/bf00372653

✦ Synopsis

Intravenous urography has been a standard preoperative procedure prior to gynecologic operations in some parts of the world, to screen for occult renal disease and to prevent ureteral injury. There is a lack of evidence for any value of preoperative screening for these reasons. In staging cervical cancer, urography has been considered necessary to depict the degree of obstruction, as hydronephrosis is considered a sign of pelvic infiltration and thereby a higher tumor stage. There is good correlation between ultrasonography and urography in detecting hydronephrosis, and we recommend that the preoperative urogram be replaced by a preoperative ultrasonogram when a preoperative investigation is deemed necessary.