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J Urol. 1997 Feb;157(2):480-1.

Is routine excretory urography necessary at first diagnosis of bladder cancer?

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  • 1Department of Urology, Klinikum Benjamin Franklin, Free University of Berlin, Germany.

Abstract

PURPOSE:

We determined whether routine excretory urography (IVP) at initial diagnosis of bladder cancer is useful in screening the upper urinary tract for clinically inapparent urothelial tumors.

MATERIALS AND METHODS:

IVPs and ultrasound findings of 314 patients with bladder cancer were reviewed retrospectively.

RESULTS:

Only 1 silent upper urinary tract tumor was detected with IVP (0.3%), resulting in nephroureterectomy. IVP had no further therapeutic consequences except for destruction of an asymptomatic prevesical stone. IVP was followed by ureterorenoscopy in 5 patients with negative results. Upper urinary tract obstruction could be documented equally well by sonography in all cases.

CONCLUSIONS:

Routine IVP at first diagnosis of bladder cancer is unnecessary.

PMID:
8996338
[PubMed - indexed for MEDLINE]
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