Document Detail


2000 AD: still a role for the intravenous urogram in stone management?
MedLine Citation:
PMID:  11148724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The intravenous urogram (IVU) remains a useful investigation in the assessment of upper urinary tract calculi. Helical computed tomography scanning appears to have superseded the IVU in the diagnosis of acute flank pain due to a higher sensitivity in diagnosis. Results of extracorporeal shockwave lithotripsy (ESWL) for lower calyceal stones are generally disappointing. Recent studies using the intravenous urogram have demonstrated that an acute infundibulopelvic angle may be a significant indicator of the likelihood of failure of ESWL. A prospective evaluation of the role of spatial anatomy in the clearance of lower calyceal stones by ESWL is needed. In future this parameter may be used to determine treatment protocols for lower calyceal stones. Future imaging methods may make the IVU redundant, but for the time being it remains an essential part of the urologist's armamentarium.
Authors:
H J Gallagher; D A Tolley
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in urology     Volume:  10     ISSN:  0963-0643     ISO Abbreviation:  Curr Opin Urol     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2001-01-19     Completed Date:  2001-03-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9200621     Medline TA:  Curr Opin Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  551-5     Citation Subset:  IM    
Affiliation:
Scottish Lithotriptor Centre, Western General Hospital, Edinburgh, UK.
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MeSH Terms
Descriptor/Qualifier:
Contrast Media / administration & dosage,  adverse effects
Forecasting
Humans
Injections, Intravenous
Kidney Calculi / radiography*,  therapy
Kidney Calices / anatomy & histology
Tomography, X-Ray Computed
Urography
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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