To Evaluate the Role of Intravenous Urography in Acute Uropathology, Does Duration of Symptoms have a Role in its Diagnostic Yield? A Retrospective Chart Review

Abstract

Objectives: To evaluate the effects of demographics like age, gender, and duration of symptoms of uropathology on the yield of intravenous urography.

Methodology: Retrospective chart review, done in the department of Radiology, Pakistan Institute of Medical Sciences, PIMS Islamabad. Data was collected from patients record from august to October for a period of 3 months. All patients whose intravenous urography was performed were retrospectively analysed for demographics and duration of symptoms and clinical data for each patient. The data was collected on a premade proforma

Results: Out of 117 patients studied, 81(69.23%) had some uropathology, while 36 (30.76%) did not show any pathology.53 (45.29) patients were in the age group 35-45 years and the overall 70 (59.82%) patients were male and 47 (40.17%) female. Calculus disease (stone) was seen in 87 (74.35%) patients. 43 (36.75%) had shorter duration of symptoms (less than 4 weeks) while 74 (63.24%) had larger duration (more than 4 weeks). 21 (48.83%) out of 43 patients with short duration had normal findings while 15 (20.27%) out of 74 who had longer duration had normal findings.

Conclusions: Patients with shorter duration of symptoms had more negative results so intravenous urography should not be done in all cases and should be reserved only for chronic cases.