Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis

Abstract Objective:  To prove that ureteric jet examination using Color Doppler Ultrasonography (CDU) can be used as a diagnostic tool to predict success of retrograde Double J Stent insertion in uterine cervicis carcinoma patients with hydronephrosis. Materials and Methods: This observational ana...

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Main Authors: sriyono sriyono, Adi Santoso, Tarmono Djojodimedjo, Moh Ayodhia Soebadi, Widodo J Pudjirahardjo
Format: Article
Language:English
Published: IKATAN AHLI UROLOGI INDONESIA 2015-04-01
Series:Jurnal Urologi Indonesia
Online Access:http://juri.urologi.or.id/juri/article/view/95
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author sriyono sriyono
Adi Santoso
Tarmono Djojodimedjo
Moh Ayodhia Soebadi
Widodo J Pudjirahardjo
author_facet sriyono sriyono
Adi Santoso
Tarmono Djojodimedjo
Moh Ayodhia Soebadi
Widodo J Pudjirahardjo
author_sort sriyono sriyono
collection DOAJ
description Abstract Objective:  To prove that ureteric jet examination using Color Doppler Ultrasonography (CDU) can be used as a diagnostic tool to predict success of retrograde Double J Stent insertion in uterine cervicis carcinoma patients with hydronephrosis. Materials and Methods: This observational analytic study took 32 samples since May until October 2013. Before, the ureteric jet were counted for 5 minutes using CDU, then continued on the same day with cystoscopy and retrograde DJ Stent insertion. The analysis was using Chi-Square and also Coefficient Contingency test. Results: In both Chi-Square and Coefficient Contingency test, it is proven a significant correlation between success of retrograde DJ Stent insertion and Blood Urea Nitrogen (BUN), creatinine value, grade of hydronephrosis and also ureteric jet examination using CDU, with probability value (p < 0,005). The normal of BUN, creatinine level and the lower grading of hydronephrosis, the more likely successful DJ Stent insertion. Successfulness of DJ Stent insertion is also greater in a positive ureteric jet samples on examination using CDU, with sensitivity value 90,9% and specificity 89,5%, positive predictor value 83,3%, negative predictor value 95% and accuracy value 0,9. Conclusion: Ureteric jet frequency examination using CDU can be used as a success predictor of retrograde DJ Stent insertion in hydronephrosis uterine cervicis carcinoma patients with sensitivity value 90,9% and specificity 89,5%. Keywords: Ureteric jet, Color Doppler Ultrasonography, Double J Stent, Uterine Cervicis Carcinoma
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spelling doaj.art-ea26d60d588d4ac0923acd440238d27e2022-12-22T03:08:06ZengIKATAN AHLI UROLOGI INDONESIAJurnal Urologi Indonesia0853-442X2355-14022015-04-0122110.32421/juri.v22i1.9595Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosissriyono sriyono0Adi Santoso1Tarmono Djojodimedjo2Moh Ayodhia Soebadi3Widodo J Pudjirahardjo4Department of Urology, Faculty of Medicine/Airlangga University, Soetomo General Hospital, Surabaya.Staff Department of Urology, Faculty of Medicine/Airlangga University, Soetomo General Hospital, Surabaya.Staff Department of Urology, Faculty of Medicine/Airlangga University, Soetomo General Hospital, Surabaya.Staff Department of Urology, Faculty of Medicine/Airlangga University, Soetomo General Hospital, Surabaya.Staff Faculty of Public Health/Airlangga University, Soetomo General Hospital, Surabaya.Abstract Objective:  To prove that ureteric jet examination using Color Doppler Ultrasonography (CDU) can be used as a diagnostic tool to predict success of retrograde Double J Stent insertion in uterine cervicis carcinoma patients with hydronephrosis. Materials and Methods: This observational analytic study took 32 samples since May until October 2013. Before, the ureteric jet were counted for 5 minutes using CDU, then continued on the same day with cystoscopy and retrograde DJ Stent insertion. The analysis was using Chi-Square and also Coefficient Contingency test. Results: In both Chi-Square and Coefficient Contingency test, it is proven a significant correlation between success of retrograde DJ Stent insertion and Blood Urea Nitrogen (BUN), creatinine value, grade of hydronephrosis and also ureteric jet examination using CDU, with probability value (p < 0,005). The normal of BUN, creatinine level and the lower grading of hydronephrosis, the more likely successful DJ Stent insertion. Successfulness of DJ Stent insertion is also greater in a positive ureteric jet samples on examination using CDU, with sensitivity value 90,9% and specificity 89,5%, positive predictor value 83,3%, negative predictor value 95% and accuracy value 0,9. Conclusion: Ureteric jet frequency examination using CDU can be used as a success predictor of retrograde DJ Stent insertion in hydronephrosis uterine cervicis carcinoma patients with sensitivity value 90,9% and specificity 89,5%. Keywords: Ureteric jet, Color Doppler Ultrasonography, Double J Stent, Uterine Cervicis Carcinomahttp://juri.urologi.or.id/juri/article/view/95
spellingShingle sriyono sriyono
Adi Santoso
Tarmono Djojodimedjo
Moh Ayodhia Soebadi
Widodo J Pudjirahardjo
Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis
Jurnal Urologi Indonesia
title Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis
title_full Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis
title_fullStr Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis
title_full_unstemmed Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis
title_short Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis
title_sort diagnostic value of ureteric jet frequency examination using color doppler ultrasonography to predict success of retrograde dj stent insertion in uterine cervicis carcinoma patients with hydronephrosis
url http://juri.urologi.or.id/juri/article/view/95
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