European Journal of Molecular & Clinical Medicine

Abstract

To evaluate the role of CT urography in investigating causes of hematuria.
2. To determine the sensitivity and specificity of CT urography in evaluation and differentiation of  the upper and lower urinary tract pathologies causing hematuria.
Material and methods: A prospective study of 75 patients with urinary Symptomatology was performed who presented at Index Medical College Hospital and Research Center, Indore (M.P.). The study was conducted during the period from JAN 2021 to JUL 2022.
75 patients were referred for CT Examination. Almost all these patients were symptomatic and many had multiple symptoms related to urinary tract. However, pain was the predominant symptom in as many as 54 cases. Patient registration in form of individual details, clinical history, past history. Recording of previous X-Ray, USG, IVU & other relevant laboratory reports whenever available for evaluation.
 
Results: Majority of the subjects 68% were male and 32% were female. Majority of the subjects 78.7% had macro hematuria and 21.3% had micro hematuria. Majority of the subjects 72% had hematuria with symptoms and 28% had hematuria without symptoms. Majority of the subjects 36% had Calculi followed by 20% of the subjects had Neoplasm, 16% had Infection, 8% had trauma and 8% had developmental anomaly. Among the subject who had infection as cause for hematuria 100% of subject had hematuria with symptoms. Majority of the subjects who had carcinoma as cause for hematuria had without symptoms. 87.1% of the subject who had macro hematuria had symptoms and 57.1% did not had symptoms. 12.9% of the subject who had micro hematuria had symptoms and 42.9% did not had symptoms. Majority of the subjects who had calculi 48.1% had            renal calculi followed by ureteric in 37% and vesical in 14.9%. Majority of the subjects who had developmental anomaly 33.3% had polycystic and ectopic kidney followed by horseshoe shaped kidney and duplication of ureter 16.7%. Equal number of the subjects who had trauma 33.3% had kidney, bladder and uretheral injury.