PD10-07 UPPER TRACT IMAGING IN PATIENTS WITH HAEMATURIA

Abstract

You have accessJournal of UrologyImaging/Radiology: Uroradiology I (PD10)1 Sep 2021PD10-07 UPPER TRACT IMAGING IN PATIENTS WITH HAEMATURIA Shanmugasigamani Kannan, Ashok Bhuvanagiri, Ashok Kailasa, Kyriacos Alexandrou, Mohanarangam Thangavelu, and Jason Walker Shanmugasigamani KannanShanmugasigamani Kannan More articles by this author , Ashok BhuvanagiriAshok Bhuvanagiri More articles by this author , Ashok KailasaAshok Kailasa More articles by this author , Kyriacos AlexandrouKyriacos Alexandrou More articles by this author , Mohanarangam ThangaveluMohanarangam Thangavelu More articles by this author , and Jason WalkerJason Walker More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001978.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the range of pathologies identified in patients attending the One Stop Haematuria Clinic (OSHC) and to examine the value of Ultrasound Urinary tract (USS KUB) and CT Urogram in these patients. METHODS: This was a prospective study of 2110 patients (Males 1,112 (52.7%) Females 998(47.3%)) referred to OSHC with visible haematuria (VH, n = 1163 (55.1%)) or non-visible haematuria (NVH, n = 947 (44.9%)) between April 2017 and Jan2021. The mean age was 68.4 years (range 45-92). All patients were investigated by flexible cystoscopy and USS KUB, 1154/2110 (54.6%) had a CT Urogram. Data were collected from Welsh Clinical Portal, Welsh Clinical Communications Gateway and Synapse Radiology system. RESULTS: In Low Risk Group (NVH and Age <50, Non-smoker, Sex – Male <40 yrs, Female <50yrs) 315 USS KUB were normal except 1 patient had complex cyst confirmed as Bosniak2f cyst on CT scan. All renal masses were diagnosed on Ultrasound Scan. There were 33/2110 (1.5%) patients diagnosed as Upper Tract Transitional cell Carcinoma (UTTCC) on CTU. Mean age of this group was 71.2 (SD - 10.7) years and there was no statistical difference in Low and high risk group for UTTCC (p-Value 0.19). CONCLUSIONS: On the basis of these results there is no need for CT Urogram for assessment of non visible haematuria patients unless other risk factors (Age >65 years, Visible Haematuria, abnormal USS) are present. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e129-e129 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Shanmugasigamani Kannan More articles by this author Ashok Bhuvanagiri More articles by this author Ashok Kailasa More articles by this author Kyriacos Alexandrou More articles by this author Mohanarangam Thangavelu More articles by this author Jason Walker More articles by this author Expand All Advertisement Loading ...