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  • Ultrasonography plus radiography was as effective as intravenous urography for detecting abnormalities in men with proven urinary tract infection

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Diagnosis
Ultrasonography plus radiography was as effective as intravenous urography for detecting abnormalities in men with proven urinary tract infection

https://doi.org/10.1136/ebm.7.6.189

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    (2002) BMJ 324, 454; Andrews S, Brooks PT, Hanbury DC, et al.. Ultrasonography and abdominal radiography versus intravenous urography in investigation of urinary tract infection in men: prospective incident cohort study.. Feb;. :. –6.
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 QUESTION: What is the accuracy of ultrasonography plus abdominal radiography for detecting urinary tract abnormalities in men with proven urinary tract infection (UTI)?

    Design

    Blinded comparison of ultrasonography plus radiography with intravenous urography (IVU) (diagnostic standard).

    Setting

    The urology and nephrology departments of a district general hospital in Hertfordshire, England, UK.

    Patients

    114 consecutive men (mean age 54 y), with proven UTI. Complete data were obtained for 100 men.

    Description of tests and diagnostic standard

    Ultrasound examination was done with a 3.5-MHz probe. Each kidney was assessed in the longitudinal and tranverse planes, and renal length was recorded. The bladder was assessed full and after micturition. Urinary flow rates were assessed with a Dantec Urodyn 1000. The diagnostic standard, IVU, comprised a full-length plain film, an immediate cross-kidney film after injection of contrast media, a 7-minute cross-kidney film, a 15-minute …

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    Footnotes

    • Sources of funding: no external funding.

    • For correspondence: Dr D Hanbury, Lister Hospital, Hertfordshire, UK. Email damian.hanbury{at}lister.enherts-tr.nhs.uk.