Ultrasonography, X-ray and intravenous urography [IVU]

ABSTRACT

To know the sensitivity and specificity of ultrasound with plan abdominal film [X-ray KUB] compared to IVU in evaluation of renal colic. To develop a protocol for investigations of renal colic. Experimental. Department of Urology and Renal Transplantation, Quaid-I-Azam Medical College/ Bahawal Victoria Hospital, Bahawalpur. From July 2010 to December 2011. The number of cases for the study were one hundred and fifty. Patients of either sex of age range from 10 to 50 years with suspected urinary tract stone disease, PUJ obstruction and structure ureterovesical junction were included in this study. While patients of age <10 years, renal failure and with history of hypersensitivity to contrast media were excluded from the study. After routine investigations, ultrasonography, plain X-ray KUB and IVU were performed in every patient at radiology department, Bahawal Victoria hospital, Bahawalpur. The mean age of patients was 41.14 +/- 1.30 years. The ratio of male to female was 2.81. Presenting complaints of patients were flank pain. Maximum duration of complaint was 5-6 years. USG + X-ray KUB findings were obstructing renal stone, ureteric stone and PUJO in 97[64.67%], 25[16.67%] and 28 [18.67%] patients respectively. While on IVU, obstructing renal stone, PUJO and ureteric stone was found in 87[58%], 31[20.67%] and 32[21.33%] patients respectively. this study shows that ultrasonography and plain X-ray abdomen [KUB] in sufficient for the diagnosis of renal disease presenting with renal colic