What is the role of CT urography in the preoperative workup of partial cystectomy?

Updated: Apr 03, 2019
  • Author: E Jason Abel, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

In recent years, CT urography has become a viable option to image the upper urinary tract. The sensitivity and specificity of CT scans surpass that of IVP. Furthermore, since many patients undergo CT scanning of the abdomen and pelvis for bladder cancer staging, the upper urinary tract can be evaluated in the same setting. CT urography has now become the test of choice for upper urinary tract evaluation in cancer. [21] Attention does need to be paid to the patient’s renal function, however. If intravenous contrast cannot be administered, retrograde pyelography can be used in combination with noncontrast axial imaging.


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