Monitoring ureteral patency by color doppler sonography after total hysterectomy

ABSTRACT

To endorse role of color Doppler sonography, as a rapid screening bed side test, for diagnosis of ureteral patency after total hysterectomy. This study included 50 patients who underwent total abdominal hysterectomy for benign conditions. Early postoperative Transabdominal color Doppler sonography of the urinary bladder for visualization of ureteral jets was done for all patients. Intravenous pyelography was done for few selected patients. The mean time required for visualizing ureteral jets, and the total number of jets per minute was not significantly different between right and left ureter. Normal flow pattern in the form of discrete jets was observed in all cases except 10 cases that showed partial obstruction in which the ureteral jets were in the form of sluggish continuous flow. Color Doppler sonography had high sensitivity and predictive values for early simple detection of uretral patency. Transabdominal color Doppler can be a simple bed side screening test for postoperative ureteral patency