Authors : Dipali Kadam, Saurabh Patil, Meenal Jain
DOI : 10.18231/2394-2754.2019.0011
Volume : 6
Issue : 1
Year : 2019
Page No : 46-50
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.