By Janet A. Parker M.D., Enrico J. Doganiero D.O. (auth.), Erich K. Lang M.D. (eds.)
Significant contemporary advances within the imaging of the decrease urinary tract are comprehensively provided during this guide. It deals details on either imaging examinations and interventional innovations with the entire sleek modalities, together with MRI and ultrasound.
The individuals are all specialists in scientific urology; their various and now and then conflicting reviews music the fast-moving velocity within the box and show the complexity of the topic. The procedure is disease-oriented, notwithstanding grouped via anatomic area. each one bankruptcy covers etiology, body structure, pathology, epidemiology, scientific shows and particularly diagnostic imaging, but in addition the suitable interventional radiologic recommendations for either analysis and treatment.
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Extra info for Radiology of the Lower Urinary Tract
1982; LIEBERMAN et al. 1982; LIST et al. 1983). The percutaneous transluminal dilatation procedure spares the patient the cost and risk of an extensive surgical procedure, and for many types of strictures offers the patient a potentially equally effective and perhaps safer approach. Such management is particularly attractive since many of these injuries arise as a complication of previous surgery and reoperation for repair is more difficult. , vascular supply to the stricture and adjacent ureter (LANG and THOMAS 1992).
Some believe that long-term ureteral stent may lead to mucosal irritation and recurrent stricture formation. Others think that large diameter stents may cause ureteral ischemia and contribute to recurrent stenosis (BANNER et al. 1983). Rupture at the stricture site during balloon dilatation has been reported (BANNER et al. 1983). Pressure erosion by an indwelling stent can result in ureteral arterial or ureteral bowel fistula (ADAMS 1984; KAR et al. 1984; WHEATLEY et al. 1981). The common iliac artery, being closely related to the base of an ileal conduit, is particularly susceptible to pressure erosion and fistula formation from an indwelling ureteral stent (ADAMS 1984).
1975; PALMER and DRAGO 1981; FLYNN et al. 1979). DOWLING et al. (1986) reported immediate diagnosis of ureteral injury at the time of surgery in only 4 of 27 patients. The time-honored technique of verifying ureteral integrity and patency after pelvic or abdominal surgery in proximity to the ureter utilizes intravenous injections of 5 ml indigo carmine. Ejaculation of dye from both ureteral orifices should be observed. The relative lack of specificity and the paucity of symptoms explaiil the frequent delay in diagnosis (BoYD 1987).
Radiology of the Lower Urinary Tract by Janet A. Parker M.D., Enrico J. Doganiero D.O. (auth.), Erich K. Lang M.D. (eds.)