Review article

Interventional ultrasound in acute urologic conditions

Dražen Rahelić ; Klinika za urologiju, KBC Rijeka, Rijeka
Josip Španjol ; Klinika za urologiju, KBC Rijeka, Rijeka
Dean Markić ; Klinika za urologiju, KBC Rijeka, Rijeka
Ivana Plavšić ; Klinika za internu medicinu, KBC Rijeka, Rijeka
Ivan Sušanj ; Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Ivan Bubić ; Klinika za internu medicinu, KBC Rijeka, Rijeka
Maksim Valenčić ; Klinika za urologiju, KBC Rijeka, Rijeka
Željko Fučkar ; Klinika za urologiju, KBC Rijeka, Rijeka

Abstract

Ultrasound diagnostic of different urological diseases has reached a high level at the
present time. Along with patient’s history and physical examination, ultrasound has become an
unavoidable procedure when processing urological patients and represents a powerful tool to
quickly and safely set the accurate diagnosis. Besides tremendous help in diagnostics of urological
diseases, many urologists attach even greater importance to the ultrasound as the best imaging
method for therapeutic interventional procedures on the urinary system. Interventional
ultrasound in urology includes a number of percutaneous interventions which penetrate into
the urinary system under ultrasound guidance, with a primary aim of fast and efficient removal
of the potentially fatal complications of underlying diseases. Any obstruction of the urinary system
with subsequent disturbance of normal urine flow can lead to serious conditions such as
complete urinary retention, acute renal failure, hydronephrosis and urosepsis. Those conditions
most often require urgent urinary diversion by retrograde or percutaneous way because
the underlying disease, except in rare cases, cannot be entirely eliminated in a short period of
time. Retrograde diversion of urine in often impossible due to impassable barrier within the
urinary system or pressure of pathologic process from outside, so percutaneous interventional
procedure remains the only solution. Hydronephrosis indicates a widening of the renal collecting
system which, if mistreated, leads to the atrophy of renal parenchyma. We emphasize that
percutaneous interventional procedures on the nearby urinary tract tissues also belong into a
field of urologic interest, for example drainages of retroperitoneal collections.

Keywords

hydronephrosis; interventional ultrasound; obstruction of the urinary system; percutaneous procedures; urinary diversion

Hrčak ID:

112531

URI

https://hrcak.srce.hr/112531

Publication date:

2.12.2013.

Article data in other languages: croatian

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