Ja. Mokulis et al., SHOULD RENAL ULTRASOUND BE PERFORMED IN THE PATIENT WITH MICROSCOPIC HEMATURIA AND A NORMAL EXCRETORY UROGRAM, The Journal of urology, 154(4), 1995, pp. 1300-1301
Purpose: We determine what additional information would be detected by
renal ultrasonography that was not identified by a normal excretory u
rogram (IVP) performed for the evaluation of microscopic hematuria. Ma
terials and Methods: A retrospective review was done of 101 patients w
ith microscopic hematuria and a normal IVP who underwent renal ultraso
nography. Results: Of the 101 patients with microscopic hematuria and
a normal IVP, renal ultrasonography was abnormal in 20%. All findings
were ultimately proved to be of no clinical significance, although 6 o
f 21 patients required a total of 10 additional studies, including 9 c
omputerized tomography scans and 1 renal arteriogram. Conclusions: The
se data demonstrate that renal ultrasonography is unnecessary in a pat
ient with microscopic hematuria and a normal IVP.