ULTRASONOGRAPHY, X-RAY AND INTRAVENOUS UROGRAPHY (IVU)

Abstract

Objectives: To know the sensitivity and specificity of ultrasound with plain abdominal film (X-ray KUB) compared to IVU in
evaluation of renal colic. To develop a protocol for investigations of renal colic. Design of study: Experimental. Setting: Department of Urology
and Renal Transplantation, Quaid-I-Azam Medical College /Bahawal Victoria Hospital, Bahawalpur. Period: From July 2010 to December
2011. Materials & Methods: 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 stricture ureterovesical junction were included in this study. While
patients of age <10years, 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. Results: The mean age of patients was 41.14±1.30 years. The ratio of male to female was 2.8:1. 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. Conclusions: This study shows that ultrasonography and plain X-ray
abdomen (KUB) is sufficient for the diagnosis of renal disease presenting with renal colic.