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ROLE OF GRAY SCALE ULTRASONOGRAPHY IN VESICAL HAEMATURIA

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Author(s): Qamar S Khan

Journal: The Professional Medical Journal
ISSN 1024-8919

Volume: 06;
Issue: 04;
Start page: 512;
Date: 1999;
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Keywords: Gray Scale | B mode | Colour Doplar | Pulse Doplar | Ultrasound | VC | BPH

ABSTRACT
OBJECTIVE: The importance of Gray Scale Ultrasonography in detecting the cause of haematuria withinurinary bladder. DESIGN: Prospective study of 156 patients complaining of haematuria from 01 June 97to 31 December 97. SETTING: Department of Radiology and Imaging, Liaquat Medical College Hospital,Jamshoro. MAIN OUTCOME: Gray scale ultrasonography is still one of the important imaging modalityfor the diagnosis of the cause of haematuria within urinary bladder. RESULTS: Vesical calculus was foundto be the commonest cause of haematuria detecting on ultrasonography. 52.5% were complaining ofhaematuria and had vesical calculus. The male to female ratio was 74.8 with age variation. 53 patients(33.9%) were having BPH (Benign Prostatic Hypertrophy), between 50 and 60 year followed by the patientabove 70 year and below 80 year. 5.7% (9 cases) of new growth were noted within urinary bladder. The maleto female ratio was 8:1. The age were between 20 to 70 years. No evidence of growth was noted between1 to 20 year. Mucosal oedema and additional inflammation was present in 14 cases where male to femaleratio was equal. 1 patient shows blood clot with history of catheterisation and another was diagnosed asdiverticular with impacted calculus within it. Foreign body within the urinary bladder was not seen in thisstudy, though reported in various text and papers. CONCLUSION: Gray scale & B mode ultrasonographyis the one of the important imaging modality in our Govt. Hospitals for the quick, less expensive diagnosisof the causes of haematuria within urinary bladder.
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