Indian Journal of Obstetrics and Gynecology Research


Assessment of hydronephrosis in obstetrics and gynaecology patients: Most useful application of MR urography


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Author Details: Dipali Kadam,Saurabh Patil*,Meenal Jain

Volume : 6

Issue : 1

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 46

Article End Page : 50


Abstract

Introduction: MR urography has been utilised to evaluate entire urinary system with advantage of not using ionizing radiation. Differentiate between physiological hydronephrosis from pathological is main concern in pregnant patients. Early identification of hydronephrosis in cases of ca cervix is required for better prognosis. So, present study was conducted to asses hydronephrosis in these patients with MR urography.
Materials and Methods: A cross sectional prospective study was carried out on sonographically detected hydronephrosis in thirty Obstetric & Gynaecology patients including 17 pregnant women.
Discussion: MR urography was performed using two techniques- static and excretory urography. Static MR Urography utilizes urine as a static fluid for demonstration of bilateral ureters whereas contrast is used in excretory urography. In instances of pregnant patients, physiologic dilatation exhibited a trademark decreasing tapering due to extrinsic obstruction of the middle third of the ureter by the uterus, more common on the right side. High sensitivity had been accounted for detection of urinary tract dilatation and identification of the site of obstruction.
Conclusion: MR urography provides excellent imaging of entire urinary system giving exact etiology of hydronephrosis in cases of pregnant patients as well as in cases of carcinomas of female pelvis origin without use of ionising radiation.

Keywords: Hydronephrosis, MR urography, Ca cervix.

Doi :-https://doi.org/10.18231/2394-2754.2019.0011