Imaging
Modality Test Disorder
XR IVU / IVP urogram Classic Reflux
BPH w/ J-hook or S.O.L.
Elevated bladder causes
J-hook (pushes up on
pelvic arch)
Tx: lithotripsy
KUB
Cystogram Lower tract obstruction
Urethrogram Lower tract STRICTURE
Voiding Cystourethrogram (VCU) Children
Reflux or posterior valves
Lymphangiogram Tumor status
Prostate
Retrograde Ureterogram DDx: prostatic ureathra
v. stricture
Dx: non-filling ureter
Distended bladder
↓ ganglion → ↓ peristalsis
(DDx: 1’ obstruction v.
hydronephrosis)
Arteriogram (MRI too) RCC
US Kidneys Cysts, stones,
hydronephrosis, RCC,
obstructing collecting
system, draw abscesses,
can see capsule of Ca
Prostate Used with FNA
Penis Vascular / doppler US
CT Kidneys Renal insufficiency s/
(LN are too contrast
small to see Laproscopic Tx (embolize
with CT – use
lymphangio-
tumor)
gram) Horseshoe Kidney
(obstruction or ureter
Xover)
-Tx: incise isthmus, rotate
kidneys, reimplant ureter
@ uteropelvic jctn
hypOperfusion
- tx: revascularize
Angiomyolipoma
(common)
MRI Same as CT RCC in renal vein
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Bladder Ca
Isotopic Renal Scans Intrauteral hydrophrosis
with parenchymal
destruction
Pyelonephritis
Stricture or stone
Eval of Renal angiography Adrenal adenoma with
Trauma laking
Ureteral stent To bypass obstruction or
-Double Pigtail: drain kidney bladdr after stone-bath
-encrustation: stent in too long
Abnormal contrast material Abscess
Tx: drain percutaneously
Ectopic uterocele UnTx’d = massive
hydroureterocoele
Surgical Tx Open Surgery
Transurethral Prostate Surgery Gold Standard
(TURP)
Laser + mini terpet BPH
TULIP Laser
TUNA Thermal waves
Extra-corporeal Shock Wave
Lithotripsy (ESWL)
“Stone Bath”
Prostatron Shink prostate
Complication: capsular
rupture d/t heat + fistula
formation
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