COMPARISON OF URINE JET VELOCITY IN VARIOUS GRADES OF HYDRONEPHROSIS IN THE CASE OF URETERIC OBSTRUCTION BY REAL-TIME

Introduction: Hydronephrosis is a common complication of the kidney that is caused by obstruction to kidney ureters and bladder. The renal pelvis and pelvicalyceal system of the kidney become dilated. The obstruction may either be in the upper or lower urinary tract. Upper urinary tract obstruction...

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Main Authors: Midrar Ullah, Raham Bacha, Muhammad Zubair, Muhammad Tayyab, Zafar Iqbal, Syed Muhammad Yousaf Farooq, Mehreen Fatima
Format: Article
Language:English
Published: Rehman Medical Institute 2022-06-01
Series:Rehman Journal of Health Sciences
Subjects:
Online Access:http://www.rjhs.pk/index.php/rehman-journal-of-health-science/article/view/175
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author Midrar Ullah
Raham Bacha
Muhammad Zubair
Muhammad Tayyab
Zafar Iqbal
Syed Muhammad Yousaf Farooq
Mehreen Fatima
author_facet Midrar Ullah
Raham Bacha
Muhammad Zubair
Muhammad Tayyab
Zafar Iqbal
Syed Muhammad Yousaf Farooq
Mehreen Fatima
author_sort Midrar Ullah
collection DOAJ
description Introduction: Hydronephrosis is a common complication of the kidney that is caused by obstruction to kidney ureters and bladder. The renal pelvis and pelvicalyceal system of the kidney become dilated. The obstruction may either be in the upper or lower urinary tract. Upper urinary tract obstruction includes ureteropelvic junction obstruction, renal stone, tumours, and vesicoureteric junction obstruction while lower tract includes benign prostatic hyperplasia, prostate tumours posterior urethral valves. Material & Methods: This cross-sectional study was conducted at the Department of Radiology Lady Reading Hospital Peshawar, Pakistan. The study duration was 9 months (September 2020 and May 2021). A total of 120 participants were presented with a history of flank and are suspicious for renal stone causing hydronephrosis. 30 patients were taken as control with no renal disease while 90 were cases having renal disease. Grading of hydronephrosis and Urine jet velocity was recorded by using real-time and spectral doppler ultrasound. Results: A total of 120 participants were included in this study. The mean jet velocity in the normal individuals was recorded as 50.37 ± 6.4 cm/s, however, in patients with mild, moderate, and severe hydronephrosis the mean jet velocity was recorded as 14.23 ± 10.47 cm/s, 7.32± 8.14 cm/s and, 1.5 ± 3.98 cm/s respectively. Conclusion: Urine jet velocity is a good indicator of ureteric obstruction in a patient with various grades of hydronephrosis. The velocity of the urine jet reduced significantly with increasing the severity of hydronephrosis.
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spelling doaj.art-75befc37ce654f508ad37e5dc535f3f72023-07-11T05:27:54ZengRehman Medical InstituteRehman Journal of Health Sciences2664-46302708-25122022-06-01416468https://doi.org/10.52442/rjhs.v4i1.175COMPARISON OF URINE JET VELOCITY IN VARIOUS GRADES OF HYDRONEPHROSIS IN THE CASE OF URETERIC OBSTRUCTION BY REAL-TIMEMidrar Ullah0Raham Bacha1Muhammad Zubair2Muhammad Tayyab3Zafar Iqbal4Syed Muhammad Yousaf Farooq5Mehreen Fatima6Khyber Medical University PeshawarFaculty of Allied Health Sciences, University of Lahore, PakistanFaculty of Allied Health Sciences, University of Lahore, PakistanFaculty of Allied Health Sciences, University of Lahore, PakistanFaculty of Allied Health Sciences, University of Lahore, PakistanFaculty of Allied Health Sciences, University of Lahore, PakistanFaculty of Allied Health Sciences, University of Lahore, PakistanIntroduction: Hydronephrosis is a common complication of the kidney that is caused by obstruction to kidney ureters and bladder. The renal pelvis and pelvicalyceal system of the kidney become dilated. The obstruction may either be in the upper or lower urinary tract. Upper urinary tract obstruction includes ureteropelvic junction obstruction, renal stone, tumours, and vesicoureteric junction obstruction while lower tract includes benign prostatic hyperplasia, prostate tumours posterior urethral valves. Material & Methods: This cross-sectional study was conducted at the Department of Radiology Lady Reading Hospital Peshawar, Pakistan. The study duration was 9 months (September 2020 and May 2021). A total of 120 participants were presented with a history of flank and are suspicious for renal stone causing hydronephrosis. 30 patients were taken as control with no renal disease while 90 were cases having renal disease. Grading of hydronephrosis and Urine jet velocity was recorded by using real-time and spectral doppler ultrasound. Results: A total of 120 participants were included in this study. The mean jet velocity in the normal individuals was recorded as 50.37 ± 6.4 cm/s, however, in patients with mild, moderate, and severe hydronephrosis the mean jet velocity was recorded as 14.23 ± 10.47 cm/s, 7.32± 8.14 cm/s and, 1.5 ± 3.98 cm/s respectively. Conclusion: Urine jet velocity is a good indicator of ureteric obstruction in a patient with various grades of hydronephrosis. The velocity of the urine jet reduced significantly with increasing the severity of hydronephrosis.http://www.rjhs.pk/index.php/rehman-journal-of-health-science/article/view/175hydronephrosis gradingreal-time sonographyspectral dopplerureteric obstruction
spellingShingle Midrar Ullah
Raham Bacha
Muhammad Zubair
Muhammad Tayyab
Zafar Iqbal
Syed Muhammad Yousaf Farooq
Mehreen Fatima
COMPARISON OF URINE JET VELOCITY IN VARIOUS GRADES OF HYDRONEPHROSIS IN THE CASE OF URETERIC OBSTRUCTION BY REAL-TIME
Rehman Journal of Health Sciences
hydronephrosis grading
real-time sonography
spectral doppler
ureteric obstruction
title COMPARISON OF URINE JET VELOCITY IN VARIOUS GRADES OF HYDRONEPHROSIS IN THE CASE OF URETERIC OBSTRUCTION BY REAL-TIME
title_full COMPARISON OF URINE JET VELOCITY IN VARIOUS GRADES OF HYDRONEPHROSIS IN THE CASE OF URETERIC OBSTRUCTION BY REAL-TIME
title_fullStr COMPARISON OF URINE JET VELOCITY IN VARIOUS GRADES OF HYDRONEPHROSIS IN THE CASE OF URETERIC OBSTRUCTION BY REAL-TIME
title_full_unstemmed COMPARISON OF URINE JET VELOCITY IN VARIOUS GRADES OF HYDRONEPHROSIS IN THE CASE OF URETERIC OBSTRUCTION BY REAL-TIME
title_short COMPARISON OF URINE JET VELOCITY IN VARIOUS GRADES OF HYDRONEPHROSIS IN THE CASE OF URETERIC OBSTRUCTION BY REAL-TIME
title_sort comparison of urine jet velocity in various grades of hydronephrosis in the case of ureteric obstruction by real time
topic hydronephrosis grading
real-time sonography
spectral doppler
ureteric obstruction
url http://www.rjhs.pk/index.php/rehman-journal-of-health-science/article/view/175
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