Is the routine use of intravenous urography still justified in our country? A prospective cross-sectional study done at Tikur Anbessa Specialized Hospital
Intravenous urography has been the imaging modality of choice for long due to its good special resolution and excellent anatomic details of the collecting system of the kidney. Due to the introduction of cross-sectional imaging, the use of IVU as the modality to look for collecting system diseases have been challenged. Despite all the developments in imaging, IVU still is used in the work up of some collecting system diseases. However, despite current consensus there is still a strong tendency among physicians to refer patients to radiology units for IVU evaluation for lots of indications which are now obsolete. This study was conducted with the objective of assess the pattern of utilization of IVU at Black lion hospital and to identify the most frequent indications for different age groups.
A total of 253 cases were included in this study prospectively and the commonest indications for IVU were renal stones (36.8%) and hydronephrosis. Hematuria was the indication in 5 (2.0%) patients. About 23.7% had normal finding on IVU.
Most of the indication at the place where this study was done were unjustified and would have been avoided particularly the induction for pediatric patients were obsolete. So the indication for IVU should adhere the international current standards and should be cautiously used in pediatric patients.
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