The clinical value of IVP in BPH.
- Author:
Soo Taek JEONG
1
;
Tae Joon HA
;
Choong Hee NOH
Author Information
1. Department of Urology, Sanggye Paik Hospital, InJe University, Seoul, Kore.
- Publication Type:Original Article
- Keywords:
Intravenous pyelography;
Benign prostatic hypertrophy
- MeSH:
Cystoscopy;
Humans;
Incidental Findings;
Prostatectomy;
Prostatic Hyperplasia;
Urinary Bladder;
Urography;
Urology
- From:Korean Journal of Urology
1993;34(6):975-978
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Routine use of the IVP in preoperative evaluation of patients with obstructive bladder outlet symptoms has been questioned on the basis of the chance of incidental finding in the upper tract and the implication of such findings to management. We studied 220 patients who underwent intravenous pyelography before prostatectomy at Department of Urology, Sanggye Paik Hospital from Oct. 1989 to Jun 1992. Of 220 patients, 183( 83.2% ) showed normal upper tract with cystogram compatible with benign prostatic hyperplasia. Abnormalities were found in 37( 16.8% ) patients but treatment plan was altered in only 5(2.25% ) cases. Most of these abnormalities could be detected on KUB or cystoscopy. Only one(0.45% ) malignancy would have been missed without routine IVP. We conclude that IVP in our opinion should not be performed as a routine procedure in patients with benign prostatic hypertrophy, but only in selected cases.
