The specific roll of excretion urography examination in patient management at Kenyatta National Hospital

Abstract

A total of 484 patients who underwent excretion urography examination at Kenyatta National Hospital in one year period were studied. These were 235 (48.6%) males and 249 (51.4%) females. 265 (55.4%) were out-patients and 216 (44.6%) were in-patients. The commonest indications for requesting excretion urogr~phy were as follows: Inflammatory conditions of urinary tract (13.6%); abdominal masses non-renal (21.8%); Incontinence (8.9%); Hypertension (8.9%); Symptoms and signs of renal stone (8.7%) etc. Rare indications for requesting the examination were as follows:- Haematuria (2.7%); Surgical procedures involving urinary tract (2.3%); Suspected bladder malignancy (1.2%); abdominal colicky pain non-renal (1.2%); Renal failure (1.0%); Enuresis (0.8%) etc. Indications which showed high number of normal urograms include; Enuresis (100.0%); abdominal colicky pains non-renal (83.3%); renal calculi (71.4%); hypertension (72.1%) etc. Patients with urograms which were normal or did not add any new information required further clinical evaluation to ascertain cause of their 'symptoms and signs. Indications which had a high number of urograms, with results not leading to change in already established management were as follows; renal failure (80.0%); prostatism (68.8%); Incontinence (62.8%) etc. Indications which showed high number of abnormal urograms were as follows: Renal failure (100.0%); Haematuria (92.3%); Renal masses (79.5%) etc. Indications which showed high proportional for further radiological investigation(s) after urography, were as follows: Haematuria (38.5%); renal masses (35.9%); abdominal masses (20.5%) obstructive uropathy (20.5%).