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The role of the plain X‐ray in the assessment of prostatic symptoms
Author(s) -
] Porter,
Paul R. Stoddart,
Hinchliffe
Publication year - 1998
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1998.00541.x
Subject(s) - medicine , asymptomatic , abnormality , urinary system , pelvis , upper urinary tract , urology , radiology , surgery , psychiatry
Objective To assess the contribution of a plain X‐ray of the kidney, ureters and bladder (KUB) to the assessment of patients presenting with symptoms of bladder outlet obstruction. Patients and methods All patients presenting to the ‘Prostate’ clinic at Weston General Hospital during the 12 months from 1 May 1993 to 30 April 1994 were assessed clinically by a history, examination and routine investigations that included a KUB examined and reported by a radiologist. Patients were followed and treatment instituted as deemed appropriate. The contribution made to the management of the patient by the KUB was assessed. Results Of the 292 patients, 234 had no relevant abnormality detected; four patients had evidence of a bladder calculus, whilst in four osteosclerotic areas were noted on the pelvis and lumbar spine. Of the remainder, 14 (5%) had upper urinary tract calcification. In no patients did the KUB influence their immediate management. Those with asymptomatic upper tract stones were offered a yearly follow‐up. Conclusions The routine use of the KUB as a means of investigating lower urinary tract symptoms in the male may no longer be necessary.